DARRYL WILLIAM SANDBERG (NPI# 1730339946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730339946 |
| Entity Type | Individual |
| Full Name | DARRYL WILLIAM SANDBERG |
| Credential | PA-C |
| Practice Address |
Hhc 1/2 Aviation Regiment Aviation Medicine Clinic Bldg 1058 Fort Carson CO 80913 |
| Mailing Address |
682 High Tea Ct Fountain CO 80817-4631 |
| Practice Telephone | 7195268477 |
| Mailing Telephone | 9704854377 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2013-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
HHC 1/2 AVIATION REGIMENT AVIATION MEDICINE CLINIC BLDG 1058 |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| 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 |
|---|---|---|---|---|
| 1285270009 | James Buczek | Physician Assistant | Butts Army Airfield Medical Clinic, 3524 Airfield Rd, Fort Carson, CO 80902 | 2019-11-27 |
| 1003199811 | James Kennedy Hardin | Physician Assistant | 6327 Okinawa Dr, Fort Carson, CO 80902-3224 | 2011-09-28 |
| 1528210655 | Richard E White | Physician Assistant | Diraimondo Family Medicine Clinic, Bldg 1041, Fort Carson, CO 80913 | 2008-10-21 |
| 1871744417 | Megan Nichole Baird | Physician Assistant | 1650 Cochrane Cir., Building 7500, Fort Carson, CO 80913 | 2008-10-01 |
| 1629199492 | Robert David Crandall | Physician Assistant | 204 Bsb 2-4 Id, Bldg. 2457 Attn. Captain Crandall, Fort Carson, CO 80913 | 2007-04-02 |
| 1497897748 | Scott Edward Anderson | Physician Assistant | Diraimondo Troop Medical Clinic #9, Fort Carson, CO 80913 | 2007-02-13 |
| 1205909124 | Arnaldo Francisco Zelaya | Physician Assistant | Bldg #1041 Barkley Ave, Diraimando Medical Clinic, Fort Carson, CO 80913 | 2006-11-16 |
| 1538261854 | Nick Vigil | Physician Assistant | Evans Army Community Hospital Each Usa Meddac, 1650 Cochrane Cir, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-09-05 |
| 1104885615 | Timothy J. Camasta | Physician Assistant | 1853 Oconnell Blvd Bldg 1056, Deployment Health Clinic, Fort Carson, CO 80913-4055 | 2006-03-22 |
| 1639143654 | Glenn Kingery Jr. | Physician Assistant | 1853 Oconnell St, Bldg 1042, Fort Carson, CO 80913 | 2006-02-15 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on DARRYL WILLIAM SANDBERG.
| 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.