JOSHUA FITZGERALD SANDEMAN (NPI# 1699050492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699050492 |
Entity Type | Individual |
Full Name | JOSHUA FITZGERALD SANDEMAN |
Credential | F.N.P. |
Practice Address |
180 Atwater St N Ofc Monmouth OR 97361 |
Mailing Address |
180 Atwater St N Ofc Monmouth OR 97361-1801 |
Practice Telephone | 5033787526 |
Practice Fax Number | 5035854278 |
Mailing Telephone | 5033787526 |
Mailing Fax Number | 5035854278 |
Enumeration Date | 2011-10-13 |
Last Update Date | 2020-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21378 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2344 6th St Fl 2, Berkeley, CA 947102412 | 5109814100 |
Street Address |
180 ATWATER ST N OFC |
City | MONMOUTH |
State | OR |
Zip Code | 97361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
1255810107 | Scott Perfect | Counselor | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2018-08-11 |
Find all providers in zip 97361 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144461757 | Laurel Lynn Welty | Nurse Practitioner | 722 N 10th St, Monmouth, IL 61462-1430 | 2009-03-11 |
1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
1376103887 | Benjamin Gordon Coulam | Nurse Practitioner | 512 Main St E, Monmouth, OR 97361-2369 | 2019-06-17 |
1073984225 | Julie Gerow | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2015-10-14 |
1285963157 | Andrea M Wagner | Nurse Practitioner | 180 Atwater St N, Monmouth, OR 97361-1801 | 2009-12-23 |
1568799831 | Jodie B Kaufman | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2009-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
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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.