MR. SEAN MACON SANDRIDGE


Address: 13114 Midlothian Tpke, Midlothian, VA 23113-4206
Phone: 8045947020

MR. SEAN MACON SANDRIDGE (NPI# 1245678192) 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) 1245678192
Entity Type Individual
Full Name MR. SEAN MACON SANDRIDGE
Practice Address 13114 Midlothian Tpke
Midlothian
VA 23113-4206
Practice Telephone 8045947020
Practice Fax Number 8045947021
Mailing Telephone 8045947020
Mailing Fax Number 8045947021
Enumeration Date 2013-06-12
Last Update Date 2013-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 1260225 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA SS1787 05

Office Location

Street Address 13114 MIDLOTHIAN TPKE
City MIDLOTHIAN
State VA
Zip Code 23113-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922449768 Niche Solutions LLC Emergency Response System Companies 13114 Midlothian Tpke, Midlothian, VA 23113-4206 2013-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881211167 River Run Dental Midlothian Pllc Dentist 14261 Winterview Parkway, Midlothian, VA 23113 2020-07-02
1447891981 Dianne Carter Mays Technician 10901 Live Oak Court, Midlothian, VA 23113 2019-10-07
1023538444 Kathryn Marie Logsdon Physical Therapist 2900 Calcutt Drive, Midlothian, VA 23113 2017-06-27
1801244694 Anjali N Kalore Internal Medicine 10925 Live Oak Ct, Midlothian, VA 23113 2016-06-02
1124415971 Cara E. Corbelli Chiropractor 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 2015-04-20
1922438639 Orthovirginia, Inc Orthopaedic Surgery 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 2013-11-15
1811334832 Kara Keuthan Beatty Psychiatry & Neurology 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 2013-05-31
1770854697 R. Adrian Sorenson Dds and William R. Monacell Dds Dentist 14420 Sommerville Ct., Midlothian, VA 23113 2012-01-24
1336418995 Hush Fine Lingerie LLC Prosthetic/Orthotic Supplier 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 2011-12-27
1205118163 Rebecca Barton Pharmacist 10401 Midlothian Tnpk, Midlothian, VA 23113 2011-09-15
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912239252 Jason Marsili Contractor 14266 Camack Trl, Midlothian, VA 23114-4327 2010-02-11
1295183598 Language Legacy Contractor 14507 Pulaski Rd Apt 1, Midlothian, IL 60445-2850 2016-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639780901 S&p Medical Billing LLC Contractor 6100 Silversmith Ct Apt 202, Virginia Beach, VA 23464-4848 2020-08-11
1417573429 Jennifer Garrett Forsythe Contractor 2919 Sweetberry Ct, Chester, VA 23831-5224 2020-06-25
1902429715 Ernie Okorie Contractor 5270 Duke St, Alexandria, VA 22304-2943 2020-05-27
1811519036 Ainsworth Walker Contractor 327 Lonesome Dove Ln, Lawrenceville, VA 23868-2934 2020-05-11
1346869500 Theress Lasharn Brooks Contractor 9413 Stonewall Rd, Manassas, VA 20110-5529 2020-04-08
1366082331 Aric Anquain Mayo Contractor 8137 Seaview Dr, Chesterfield, VA 23838-5109 2020-01-08
1821636788 Roscoe Callaway Contractor 1121 Campostella Rd, Norfolk, VA 23523-2103 2019-12-11
1790321453 Katrice M Stancil Contractor 864 Crashaw St, Virginia Beach, VA 23462-6916 2019-11-18
1235774894 Rebecca Louise Neill Contractor 630 Hofstadter Rd Ste 125, Newport News, VA 23606-3066 2019-11-07
1710520440 Amie Lovette Smith Contractor 8295 Southampton Pkwy Lot 8, Drewryville, VA 23844-2059 2019-10-25
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Competitor

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City MIDLOTHIAN
Zip Code 23113

Improve Information

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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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