Individual provider Active NPI

David Austin Anderson, MD

  • Obstetrics & Gynecology Physician
  • Logan, UT
National Provider Identifier
1508356544
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13856506 Issued in UT
Practice address
2245 N 400 E Ste 201
Logan, UT 84341-1891
Phone
(435) 787-7001
Fax
(801) 216-8357
NPI assigned
May 15, 2018
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD496148 PA
Obstetrics & Gynecology Physician 207V00000X 13856506 UT Primary

Addresses

Primary practice location

2245 N 400 E Ste 201
Logan, UT 84341-1891

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

845 Helen Dr
Lebanon, PA 17042-7493
Phone (717) 273-8835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210623000122 WI Practitioner - Obstetrics/Gynecology 4587065966 Reassigns benefits to 4 organizations
I20240612003675 UT Practitioner - Obstetrics/Gynecology 4587065966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2245 N 400
Suite 201
Logan, UT 84341-1891
Phone (435) 787-7001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13856506UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care of Wisconsin S.C. Obstetrics & Gynecology CurrentSince Jul 19, 2021 Accepting new patients
Theda Clark OB Hospitalists SC Obstetrics & Gynecology CurrentSince Feb 5, 2024 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince May 30, 2024 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 20, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince May 30, 2024 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 20, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients

Locations

2245 N 400 E
Ste 201
North Logan, UT 84341
Phone (435) 787-7001

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

3232 N Ballard Rd
Ste 100
Appleton, WI 54911

5485 W Grande Market Dr
Ste C
Appleton, WI 54913

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

200 Theda Clark Medical Plz
Ste 130
Neenah, WI 54956

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

100 County Road B
Ste 4
Shawano, WI 54166

E3277 Apple Tree Ln
Waupaca, WI 54981
Phone (715) 256-0358

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1508356544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N 400 E STE 201",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411891",
            "telephone_number": "435-787-7001",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Helen Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427493",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "fax_number": "717-202-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD496148",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "13856506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.