SANDRA K HAM (NPI# 1083881262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083881262 |
Entity Type | Individual |
Full Name | SANDRA K HAM |
Credential | FNP-C |
Practice Address |
107 W Hesse Buffalo WY 82834 |
Mailing Address |
107 W. Hesse Buffalo WY 82834 |
Practice Telephone | 3076841444 |
Practice Fax Number | 3076840999 |
Mailing Telephone | 3076841444 |
Mailing Fax Number | 3076840999 |
Enumeration Date | 2008-05-15 |
Last Update Date | 2011-11-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23899-0963 | WY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
23899 | WY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000529 | SD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 126725600 | 05 | |
WY | CLIA | 53D2028400 | 01 |
WY | MEDICARE PTAN | S102619 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215227806 | Sandra Ham | Counselor | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2011-04-15 |
Street Address |
107 W HESSE |
City | BUFFALO |
State | WY |
Zip Code | 82834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
1346345923 | James William Loyd | Chiropractor | 109 W Hesse St, Buffalo, WY 82834-1501 | 2006-09-14 |
Find all providers in zip 82834 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176590 | Karen A Frost | Nurse Practitioner | 11 Donlen Dr, Buffalo, NY 14225-2525 | 2020-08-28 |
1922624725 | Sarah Elizabeth Scullion | Nurse Practitioner | 410 Abbott Rd, Buffalo, NY 14220-1634 | 2020-06-18 |
1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
1538795083 | Marissa El Hawa | Nurse Practitioner | 308 Parkdale Ave, Buffalo, NY 14213-1431 | 2020-03-17 |
1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
1093376121 | Patrisha Jane Neff | Nurse Practitioner | 12009 Mineral Ave, Buffalo, OH 43722 | 2019-06-28 |
1699336230 | Taylor Jean Tamburlin | Nurse Practitioner | 2240 N Forest Rd, Buffalo, NY 14221-1357 | 2019-06-25 |
1447815436 | Susan My Nghe | Nurse Practitioner | 1458 Sheridan Dr, Buffalo, NY 14217-1249 | 2019-05-05 |
1457914228 | Scot Lee Yarnell | Nurse Practitioner | 310 S Pacific St, Buffalo, KS 66717-2140 | 2019-04-17 |
1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
Find all providers in BUFFALO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.