ANTHONY J ANDERSON MD & ASSOC LLC NPI 1558604231

NPI Information

  • NPI: 1558604231
  • Provider Name: ANTHONY J ANDERSON MD & ASSOC LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1404 POMERELLE AVE STE B
    BURLEY, ID
    ZIP 83318
  • Phone: (208) 878-9432

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NPI Details

ANTHONY J ANDERSON MD & ASSOC LLC is a family medicine in Burley, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANTHONY J ANDERSON MD & ASSOC LLC NPI is 1558604231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1404 POMERELLE AVE STE B
BURLEY, ID
ZIP 83318-013
Phone: (208) 878-9432
Fax: (208) 878-4576

The provider's authorized official is Anthony Judd Anderson .
The authorized official title is Owner and has the following contact phone number (208) 878-9432.

The enumeration date for this NPI number is 4/1/2013 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineM-11018IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11508021726MEDICARE NSCIDAHO
21508021726MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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