SANDRA K ALDRIDGE


Address: 19020 Fort St, Riverview, MI 48193-6701
Phone: 7343625100

SANDRA K ALDRIDGE (NPI# 1164513362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164513362
Entity Type Individual
Full Name SANDRA K ALDRIDGE
Credential PA-C
Practice Address 19020 Fort St
Riverview
MI 48193-6701
Practice Telephone 7343625100
Practice Fax Number 7343625147
Mailing Telephone 7343625100
Mailing Fax Number 7343625147
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601002840 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI DEA MA1135296 01
MI STATE LICENSE NUMBER 5601002840 01

Other Providers SANDRA ALDRIDGE

NPI Name Taxonomy Address Enumeration
1376729814 Sandra Christine Aldridge Massage Therapist 3407 Delaware Ave, Kenmore, NY 14217-1421 2008-01-15

Office Location

Street Address 19020 FORT ST
City RIVERVIEW
State MI
Zip Code 48193-6701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568413367 Henry M Jurasek Family Medicine 19020 Fort St, Riverview, MI 48193-6701 2006-05-15
1306453774 Hannah M Newell Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2020-09-29
1104452234 Ashlie Head Nurse Practitioner 19020 Fort St, Riverview, MI 48193-6701 2020-03-20
1619510153 Jamie Leigh Rhodes Nurse Practitioner 19020 Fort St, Riverview, MI 48193-6701 2019-10-28
1154780591 Amity Lynn Bates Nurse Practitioner 19020 Fort St, Riverview, MI 48193-6701 2016-02-13
1891194114 Rachael Kelley Nurse Practitioner 19020 Fort St, Riverview, MI 48193-6701 2014-08-22
1699199000 Cecilia Meg O'connor Nurse Practitioner 19020 Fort St, Riverview, MI 48193-6701 2014-02-06
1518307719 Ankle and Footcare Specialists Plc Podiatrist 19020 Fort St, Riverview, MI 48193-6701 2013-07-02
1861727695 Brianne Michelle Hauser Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2009-10-13
1669602926 Heather Higgins, D.o., P.C. Dermatology 19020 Fort St, Riverview, MI 48193-6701 2009-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093214173 Sana Nasir Inc. Skilled Nursing Facility 13840 King Rd, Riverview, MI 48193 2018-02-05
1710348974 Roberta Ryan Licensed Practical Nurse 19048 Stonewood, Riverview, MI 48193 2016-03-16
1083978126 Waqar Ahmed Yazdani Physical Therapist 21708 Adams Dr, Brownstown, MI 48193 2012-07-03
1568745008 Adrianne Rockin Co LLC Registered Nurse 17735 Fort St, Riverview, MI 48193 2011-09-21
1962504399 Barbara Lynn Novak Technician/Technologist 19216 Fort Street, Riverview, MI 48193 2006-09-05
1750494282 Cosmetic Dermatology and Vein Centers of Downriver PC Dermatology 17171 Fort St, Riverview, MI 48193 2006-08-17
1235106915 Syed Muhammad Raza Internal Medicine 18025 Fort St, Riverview, MI 48193 2006-03-02
1083686380 John A Santoro Dentist 14525 Sibley Rd, Riverview, MI 48193 2006-02-02
1649240177 Asker Asmi Internal Medicine 18025 Fort Street, Riverview, MI 48193 2006-01-26
1720562051 Sana Health Inc Skilled Nursing Facility 13840 King Rd, Riverview, MI 48193 2018-09-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275009631 Michelle Nicole Hinson Physician Assistant 13134 Early Run Ln, Riverview, FL 33578-3387 2018-10-23
1962569467 Kathleen Farquhar Physician Assistant 14700 King Rd Ste A, Riverview, MI 48193-7909 2007-01-03
1720608680 Jordan Derek Steels Physician Assistant 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 2020-04-21
1184288722 Julia Sangiovanni Physician Assistant 7229 Us Highway 301 S, Riverview, FL 33578-4346 2019-04-29
1972989713 Riverview Medical, Inc Physician Assistant 10732 Ketchum Valley Dr, Riverview, FL 33579-7185 2015-08-04
1942520119 Amy Van Dusen Physician Assistant 18580 Fort St, Riverview, MI 48193-7442 2010-06-10
1861727695 Brianne Michelle Hauser Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2009-10-13
1447341060 Karen E Pfander Physician Assistant 19020 Fort St, Riverview, MI 48193-6701 2006-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023616687 Alexandria Jaclyn Miller Physician Assistant 4700 Chipman Dr, Waterford, MI 48327-3413 2020-10-15
1639777287 Piotr Z Purzycki Physician Assistant 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 2020-10-15
1013524859 Amber Marie Lee Physician Assistant 2265 South Lindenroad, Suite A, Flint, MI 48532 2020-09-25
1326656844 Dominic Farrell Physician Assistant 224 Portchester Rd, Holland, MI 49424-2628 2020-07-21
1982212072 Alexandria Bower-nelson Physician Assistant 1302 Porter Drive, Charlotte, MI 48813 2020-07-15
1013535343 Maria Pavia Physician Assistant 41302 Scarborough Ln, Novi, MI 48375-2893 2020-07-13
1073130241 Kelly F Esper Physician Assistant 9043 Glenwood Ln, Northville, MI 48168-9129 2020-07-02
1811513971 Tasha Baker Physician Assistant 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 2020-06-24
1437770054 Sterling Ryan Maxfield Physician Assistant 6187 Oak Grove Rd, Howell, MI 48855-8247 2020-05-05
1760018808 Rachel Renee Mackmin Physician Assistant 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 2020-03-20
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Competitor

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City RIVERVIEW
Zip Code 48193

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Dataset Information

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.

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