DONALD E SANFORD JR. (NPI# 1710537964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710537964 |
| Entity Type | Individual |
| Full Name | DONALD E SANFORD JR. |
| Credential | PA |
| Practice Address |
4815 Cleveland Blvd Caldwell ID 83605-6501 |
| Mailing Address |
Po Box 191050 Boise ID 83719-1050 |
| Practice Telephone | 2084553545 |
| Mailing Telephone | 2089556500 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-1779 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922038884 | Donald L Sanford | Optometrist | 29 Nespelem/san Poil St, Nespelem, WA 99155 | 2006-07-04 |
| 1740268895 | Donald Keith Sanford | Ophthalmology | 3338 Oakwell Ct, Suite 212, San Antonio, TX 78218-3086 | 2006-01-07 |
| Street Address |
4815 CLEVELAND BLVD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790713204 | Derek B Hamblin | Specialist | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2006-06-30 |
| 1174038798 | Andrew Don Mcmurray | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-12-05 |
| 1689191140 | Delores Maybach | Nurse Practitioner | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-08-25 |
| 1174980346 | Ryan Wilson | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2016-01-19 |
| 1538565270 | Joshua Keith Wilding | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2014-11-07 |
| 1972905453 | Paddy Downey | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2014-09-16 |
| 1801089255 | Robert H Duff | Nurse Practitioner | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2007-08-20 |
| 1245321942 | Daryn J. Barnes | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1417376229 | Anthony Frederick Bushnell | Physician Assistant | 315 East Elm, Ste 100, Caldwell, ID 83605 | 2014-04-09 |
| 1124056189 | Kimberly Allison Glidewell | Physician Assistant | 912 Lorey Ln, Caldwell, TX 77836-1359 | 2006-06-29 |
| 1194761536 | Janet E Mitchell | Physician Assistant | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2006-06-22 |
| 1811987076 | Erin L Proctor | Physician Assistant | 315 E. Elm Ste. 100, Caldwell, ID 83605-4858 | 2005-10-27 |
| 1417581869 | Anne Crowl | Physician Assistant | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2020-02-25 |
| 1275007965 | Ronnie Bryon Isaacson | Physician Assistant | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2019-01-15 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| 1174038798 | Andrew Don Mcmurray | Physician Assistant | 4815 Cleveland Blvd, Caldwell, ID 83605-6501 | 2017-12-05 |
| 1962932343 | Derek Carl Bronson | Physician Assistant | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2017-06-18 |
| Find all providers in CALDWELL | ||||
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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.