NPI age
14 years
Enumerated 2011-06-03
● Active
Type 1 · Individual
Michael Anderson, D.O.
Anderson is 1 of 2 emergency medicine providers in Rexburg and 1 of 22 in Idaho.
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
ID, WV
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-04-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 22 active emergency medicine providers in Idaho.
NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 36% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Practice location
450 E Main St
Rexburg, ID 834402048
Mailing address
450 E Main St
Rexburg, ID 834402048
Additional practice locations
1 secondary location on file with NPPES.
Location 2
202 Maplewood Ave
Ronceverte, WV 249701334
Specialties
-
Emergency Medicine PrimaryAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
-
Family MedicineFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1346643038 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 22 Emergency Medicine providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.