DR. GLENN DOUGLAS SANDBERG (NPI# 1245329739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245329739 |
| Entity Type | Individual |
| Full Name | DR. GLENN DOUGLAS SANDBERG |
| Credential | M.D. |
| Practice Address |
Armed Forces Institute of Pathology 14th and Alaska Washington DC 20306-0001 |
| Mailing Address |
1123 Cherry Point Rd West River MD 20778-9780 |
| Practice Telephone | 2027822804 |
| Mailing Telephone | 2027822804 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
G65358 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
ARMED FORCES INSTITUTE OF PATHOLOGY 14TH AND ALASKA |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20306-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447236856 | John F. Fetsch | Pathology | Armed Forces Institute of Pathology, 14th Street & Alaska Ave, Nw, Washington, DC 20306-6000 | 2005-12-16 |
| 1184779944 | Kathryn Marie Johnson | Pathology | Armed Forces Institute of Pathology, Bldg 54, 6825 16th St Nw, Washington, DC 20306-0006 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588745798 | Adonica Louise Walker | Pathology | Armed Forces Institute of Pathology Wramc, 6825 14th St & Alaska Ave, Washington, DC 20306 | 2006-10-17 |
| 1730165523 | Michael Richard Lewin-smith | Military Health Care Provider | 6825 16th St. Nw, Washington, DC 20306 | 2005-12-22 |
| 1881679249 | Sumitra L Parekh | Pathology | 6825 16th Street N.w, Washington, DC 20306 | 2005-12-08 |
| 1982688727 | Raj Shekar | Pathology | 6825 16th Street Nw, Washington, DC 20306 | 2005-12-05 |
| 1316921315 | Clara Heffess | Pathology | 6825 16th St.,n.w., Washington, DC 20306 | 2005-12-02 |
| 1922030477 | Anandita Ashoke Datta | Pathology | 6825 16th Street Nw, Washington, DC 20306 | 2006-07-07 |
| 1134103138 | Jacqueline Ann Wieneke | Pathology | 6825 16th St Nw, Washington, DC 20306 | 2005-12-02 |
| 1275517252 | Markku Miettinen | Pathology | 6825 16th St Nw, Washington, DC 20306 | 2005-12-02 |
| 1508953753 | Armed Forces Institute of Pathology | Military Clinical Medical Laboratory | Armed Forces Instititute of Pathololgy, 14th & Alaska Ave, Nw, Washington, DC 20306-0001 | 2006-10-09 |
| 1265534671 | Chandra A Prabha | Pathology | 6825 16thst Nw, Washington, DC 20306-0001 | 2006-09-05 |
| Find all providers in zip 20306 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225060205 | Brent T. Harris | Pathology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2006-07-07 |
| 1992789085 | Elisabeth J. Rushing | Pathology | 6825 16th St Nw, Washington, DC 20306-0003 | 2005-12-01 |
| 1467436634 | Darius Kave'h Amjadi | Pathology | 6825 16th St Nw, Washington, DC 20306-0003 | 2005-12-01 |
| City | WASHINGTON |
| Zip Code | 20306 |
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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.