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Michael Anderson

Family Doctor Emergency Medical Services

450 E Main St
Rexburg , Idaho 83440-2048

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Michael Anderson

Family Doctor Emergency Medical Services

450 E Main St
Rexburg , Idaho 83440-2048

(208) 356-3691

Write a Review Save Call

Michael Anderson

Family Doctor Emergency Medical Services

450 E Main St
Rexburg , Idaho 83440-2048

(208) 356-3691 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Medical Services
  • Family Doctor

Languages spoken

  • English

Location

450 E Main St Rexburg , Idaho 83440-2048

First Address

  • Michael Anderson
  • 450 E Main St
  • Rexburg, ID
  • Zip : 83440-2048
  • Phone : (208) 356-3691

Second Address

  • Michael Anderson
  • 450 E Main St
  • Rexburg, ID
  • Zip : 83440-2048
  • Phone : (208) 356-3691

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FAQs


Where did Michael Anderson attend graduate school?

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Where did Michael Anderson do his residency?

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Where did Michael Anderson do his fellowship?

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Is Michael Anderson board certified?

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What type of doctor is Michael Anderson

Emergency Medical Services

In what state does Michael Anderson practice in?

Idaho

Where is Michael Anderson ’s practice located?

450 E Main St , Rexburg, Idaho, 83440-2048

What is Michael Anderson ’s gender?

Male

Is Michael Anderson a sole practitioner?

No

Is Michael Anderson accepting new patients?

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What languages does Michael Anderson speak?

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Does Michael Anderson accept insurance?

Yes, Michael Anderson accepts insurance

Does Michael Anderson offers telemedicine?

Michael Anderson has not indicated if he offers telemedicine

What is Michael Anderson ’s professional license number?

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What is Michael Anderson ’s NPI number?

1194019406

Does Michael Anderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207PE0004X Emergency Medical Services O-0885 ID
N 207Q00000X Family Doctor ED0179A WV

National Provider Identifier

NPI 1194019406
Provider Name Michael Anderson
First Address Rexburg, ID 83440-2048
Second Address Rexburg, ID 83440-2048
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/06/2011
Last Update Date 02/04/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1346643038 (05) ID

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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