SANDRA J VICTOR (NPI# 1215939525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215939525 |
Entity Type | Individual |
Full Name | SANDRA J VICTOR |
Credential | M.D. |
Practice Address |
148 W North St Springfield OH 45504-2547 |
Practice Telephone | 9373235001 |
Mailing Telephone | 9373235001 |
Mailing Fax Number | 9373235413 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2019-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 35076026V | OH | Other Service Providers |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35076026 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2143022 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487032306 | Sandra Victor | Anesthesiology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-12 |
Street Address |
148 W NORTH ST |
City | SPRINGFIELD |
State | OH |
Zip Code | 45504-2547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083060172 | Susan E. Weisman | Nurse Practitioner | 148 W North St, Springfield, OH 45504 | 2016-05-09 |
1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
1356782130 | Stephanie Amber Pfeiffer | Radiologic Technologist | 148 W North St, Springfield, OH 45504-2547 | 2013-07-09 |
1578701116 | Zaw Min Bo | Internal Medicine | 148 W North St, Springfield, OH 45504-2547 | 2009-02-03 |
1740448240 | Robert Bryan Barriger | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2008-05-30 |
1528144250 | Jyothi Challa | Internal Medicine | 148 W North St, Springfield, OH 45504-2547 | 2006-10-27 |
1790709301 | Filix Kencana | Internal Medicine | 148 W North St, Springfield, OH 45504-2547 | 2006-07-27 |
1598784092 | Daljeet Singh | Specialist | 148 W North St, Springfield, OH 45504-2547 | 2006-07-18 |
1801812953 | Clark Radiation Oncology | Specialist | 148 W North St, Springfield, OH 45504-2547 | 2006-07-14 |
1841225190 | Springfield Hematology and Oncology Associates, Inc | Specialist | 148 W North St, Springfield, OH 45504-2547 | 2006-07-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
Find all providers in zip 45504 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
1316961576 | Carlos A. Perez | Radiology | 2055 S Fremont, Springfield, MO 65804 | 2006-07-27 |
1023098209 | Linda Esther Bornstein | Radiology | 3350 Main St, Springfield, MA 01107-1112 | 2006-01-22 |
1376533927 | Hyewon Helen Kim | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2005-10-25 |
1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
1992124531 | Simon Aaron Brown | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-10 |
1306265327 | Adrianna Henson Masters | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-08 |
1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 45504 |
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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.