SPENCER JUSTIN SANDS (NPI# 1235353616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235353616 |
| Entity Type | Individual |
| Full Name | SPENCER JUSTIN SANDS |
| Credential | MD |
| Practice Address |
2727 Mcclelland Blvd Joplin MO 64804-1626 |
| Practice Telephone | 4177812727 |
| Practice Fax Number | 4176592279 |
| Mailing Telephone | 4177812727 |
| Mailing Fax Number | 4176592279 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2007019256 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200264890A | 05 | |
| MO | 1235353616 | 05 | |
| KS | 200589100C | 05 |
| Street Address |
2727 MCCLELLAND BLVD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035144 | Phyllis Knickerbocker | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2006-03-02 |
| 1174812523 | St John's Regional Medical Center | General Acute Care Hospital | 2727 Mcclelland Blvd, Wound Care, Joplin, MO 64804-1626 | 2011-04-06 |
| 1962702225 | Joplin Pathology Professionals PC | Pathology | 2727 Mcclelland Blvd, St. John's Regional Med Ctr Pathology Dept, Joplin, MO 64804-1626 | 2010-11-02 |
| 1992015176 | Sandi Boyce | Speech-Language Pathologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-10-20 |
| 1376862979 | Magen Combs | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-05-20 |
| 1124345509 | Carol Watts | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-04-26 |
| 1265766075 | Dawnya Mae Gibbs | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-09-25 |
| 1043443914 | Rachel Lynn Morgan | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-08-26 |
| 1366677072 | Robert Dale Mcdermid | Psychologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-05-26 |
| 1013150556 | Debra Hamilton | Registered Nurse | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487838439 | David S Debyle | Anesthesiology | 1321 Bramar Dr, Joplin, MO 64801-1081 | 2007-12-27 |
| 1417996364 | Anthony Casanova | Anesthesiology | 3103 Mcclelland Blvd, Joplin, MO 64804 | 2006-06-06 |
| 1255308417 | Heather Stelling | Anesthesiology | 3216 Ferguson Rd, Joplin, MO 64804-4033 | 2006-03-07 |
| 1659378693 | Ajit S Nagra | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-06 |
| 1497173280 | Brandon Fordham | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804 | 2014-03-31 |
| 1366869489 | Devin Bass | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2014-03-26 |
| 1003252503 | Jacob Podleski | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2013-05-12 |
| 1518265982 | Trevor Laron Bright | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2011-03-08 |
| 1972701811 | Mark L Kerr | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2007-07-03 |
| 1801971833 | Cynthia L Griffiths | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804 | 2006-10-26 |
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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.