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

Taylor K Anderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962104133

Taylor K Anderson, DO is a Family Practice in Idaho Falls, Idaho. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2023, 3 years ago. Practices with Community Council of Idaho, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
ID
In the registry since
2023
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.

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Practice location Address checks out

3302 Valencia Dr Ste 201
Idaho Falls, ID 83404-7070
Phone: (208) 524-9400
Fax: (208) 524-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7071689 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962104133
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address98 Poplar St, Blackfoot, ID 83221-1758

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2023 (3 years in practice)
Group practice Community Council Of Idaho, Inc. — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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