MEDICARE: MATTHEW DAVID ANDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084N0400X	Neurology Physician	7035268-1204	UT

General Provider Information

NPI Number	:	1518456771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DAVID ANDERSON

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:	801-229-1054
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 W COUGAR BLVD STE 801
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3311
Country	:	US
Telephone Number	:	801-229-1054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	04/07/2026

Similar Medicare Providers

1811483381 — DR. PHANINDRA ANTHARAM MD
Practice Location Address:

395 W BULLDOG BLVD
PROVO, UT
84604-3311

Practice Phone: 801-357-7081
Practice Fax:

1861490609 — JEFFREY D PIERSON PA-C
Practice Location Address:

395 W COUGAR BLVD STE 803
PROVO, UT
84604-3311

Practice Phone: 801-235-7246
Practice Fax:

1386624377 — JAMES MICHAEL FEENEY MD FACC
Practice Location Address:

395 W BULLDOG BLVD
PROVO, UT
84604-3311

Practice Phone: 801-357-7081
Practice Fax:

1952332223 — KAREE MICHELLE YATES NP
Practice Location Address:

395 W COUGAR BLVD STE 803
PROVO, UT
84604-3311

Practice Phone: 801-235-7246
Practice Fax:

1083649750 — MEGAN E JENSEN-HILL PA-C
Practice Location Address:

395 W COUGAR BLVD , STE 803
PROVO, UT
84604-3311

Practice Phone: 801-235-7246
Practice Fax:

1730105214 — RACHELLE FROST NP
Practice Location Address:

395 W BULLDOG BLVD
PROVO, UT
84604-3311

Practice Phone: 801-357-7081
Practice Fax:

Directions to “ MATTHEW DAVID ANDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.