MRS. SONDRA SUZETTE ANDERSEN (NPI# 1982710240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982710240 |
| Entity Type | Individual |
| Full Name | MRS. SONDRA SUZETTE ANDERSEN |
| Other Name | SAM ANDERSEN |
| Credential | PA-C |
| Practice Address |
13555 W Mcdowell Rd Suite 104 Goodyear AZ 85395-2624 |
| Mailing Address |
9250 N 3rd St Suite 4010 Phoenix AZ 85020-2437 |
| Practice Telephone | 6235124176 |
| Practice Fax Number | 6235124199 |
| Mailing Telephone | 6026333848 |
| Mailing Fax Number | 6026333841 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3020 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 922733 | 05 |
| Street Address |
13555 W MCDOWELL RD SUITE 104 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476917 | Cynthia Lynne Collins | Surgery | 13555 W Mcdowell Rd, Ste 204, Goodyear, AZ 85338-2626 | 2005-06-01 |
| 1770025439 | Arizona Urology LLC | Urology | 13555 W Mcdowell Rd, Suite 302, Goodyear, AZ 85395-2624 | 2016-11-12 |
| 1528413929 | Southwest Valley Surgical Associates, Pllc | Surgery | 13555 W Mcdowell Rd, Suite 204, Goodyear, AZ 85395-2626 | 2016-05-04 |
| 1184020182 | Jacqueline Lindsey Lepetit | Nurse Practitioner | 13555 W Mcdowell Rd, Ste#205, Goodyear, AZ 85395-2624 | 2014-11-18 |
| 1548532807 | Cherilyn L Larson | Audiologist | 13555 W Mcdowell Rd, Suite 202, Goodyear, AZ 85395 | 2012-02-02 |
| 1104117696 | Arizona Center for Hematology and Oncology, Plc | Urology | 13555 W Mcdowell Rd, 304, Goodyear, AZ 85395-2624 | 2011-05-02 |
| 1699065243 | Dallas Christopher Smith | Anesthesiology | 13555 W Mcdowell Rd, Ste 201, Goodyear, AZ 85395-2624 | 2011-04-17 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1073837209 | Arizona Center for Hematology and Oncology, Plc | Radiology | 13555 W Mcdowell Rd, Suite 210, Goodyear, AZ 85395-2624 | 2010-03-17 |
| 1780915538 | Associated Ophthalmologist | Ophthalmology | 13555 W Mcdowell Rd, #102, Goodyear, AZ 85395 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992035802 | Jenna Lee Lightfoot | Physician Assistant | 14541 W Indian School Rd Ste 600, Goodyear, AZ 85395 | 2009-12-28 |
| 1053430876 | Stacie Lyn Patterson | Physician Assistant | 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 | 2007-03-29 |
| 1881099877 | Estrella Internal Medicine and Pediatrics | Physician Assistant | 14541 W Indian School Rd, Suite 600, Goodyear, AZ 85395-9243 | 2014-11-03 |
| 1619305349 | Jennifer Marie Solano | Physician Assistant | 14541 W Indian School Rd, Suite 600, Goodyear, AZ 85395-9243 | 2013-10-15 |
| 1578873519 | Kelvin Coleman | Physician Assistant | 13677 W Mcdowell Rd, Goodyear, AZ 85395-2635 | 2010-10-08 |
| 1447566302 | Danielle Moller | Physician Assistant | 13555 W Mcdowell Rd, #302, Goodyear, AZ 85395-2624 | 2010-08-29 |
| 1053576991 | Yvette Thorson | Physician Assistant | 13555 W Mcdowell Rd, 104, Goodyear, AZ 85395-2624 | 2008-07-21 |
| 1285802363 | Beth Payne Dean | Physician Assistant | 13555 W Mcdowell Rd, Suite 304, Goodyear, AZ 85395-2624 | 2008-02-12 |
| 1619983350 | Jessie F Miles | Physician Assistant | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2006-08-01 |
| 1831126044 | Ann M Voght | Physician Assistant | 14415 W Mcdowell Rd, Suite D102, Goodyear, AZ 85395-2521 | 2006-06-26 |
| Find all providers in GOODYEAR | ||||
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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.