EDMUNDO DAVID SANDOVAL (NPI# 1437235660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437235660 |
| Entity Type | Individual |
| Full Name | EDMUNDO DAVID SANDOVAL |
| Credential | MD |
| Practice Address |
Va Medical Center 2459 W Main St Marion IL 62959 |
| Mailing Address |
Va Medical Center 2459 W Main Street Marion IL 62959 |
| Practice Telephone | 6189975311 |
| Mailing Telephone | 6189975311 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
03607312 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
VA MEDICAL CENTER 2459 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1710084942 | Ramesh I Patel and Jitendra I Patel Ptr | Internal Medicine | 315 N Western Ave, Marion, IN 46952-3479 | 2006-09-20 |
| 1841307923 | Richard S Goodstein | Internal Medicine | 330 N Wabash Ave Ste 450, Marion, IN 46952-2781 | 2006-08-24 |
| 1508822446 | Mushtaq Ahmad | Internal Medicine | 1021 Harding Memorial Pkwy, Marion, OH 43302-6315 | 2006-04-20 |
| 1023363256 | Marion Pulmonary & Sleep Clinic | Internal Medicine | 1063 Harding Memorial Pkwy, Marion, OH 43302-6365 | 2012-07-13 |
| 1437424496 | Aileen Theresa Ruffino | Internal Medicine | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-03-09 |
| 1942431515 | Joel D Provenzano | Internal Medicine | 1040 Delaware Ave, Marion, OH 43302 | 2009-07-30 |
| 1083778500 | Mushtaq Ahmad Md LLC | Internal Medicine | 1063 Harding Memorial Pkwy, Marion, OH 43302-6365 | 2006-12-20 |
| 1821192253 | Jitendra I Patel | Internal Medicine | 330 N Wabash, Ste 450, Marion, IN 46952-2781 | 2006-09-07 |
| 1487757811 | Rameshchandra I Patel | Internal Medicine | 330 N Wabash, Ste 450, Marion, IN 46952-2781 | 2006-09-07 |
| Find all providers in MARION | ||||
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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.