Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell Steven Anderson, DO

Individual provider Family Medicine Physician · NPI 1548407513

Russell Steven Anderson, DO is a Family Practice in Tooele, Utah. Qualified in 2008, 18 years ago. Practices with Tooele Clinic Corp, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
18
Licensed in
UT
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

777 N Main St
Tooele, UT 84074-1611
Phone: (435) 843-2364
Fax: (435) 228-0062
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5148252-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5148252-8904 (UT)

Record details

NPI number1548407513
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 13, 2009
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tooele