Ashley Sandbothe (NPI# 1689083511, PAC ID# 2961711411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689083511 |
| PAC ID by PECOS | 2961711411 |
| Professional Enrollment ID | I20151022002569 |
| Full Name | Ashley Sandbothe |
| Organization Legal Name | SSM REGIONAL HEALTH SERVICES |
| Address |
140 Northstar Dr Holts Summit MO 65043-1123 |
| Phone Number | 5738968301 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921917352 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
| Address | Phone | Organization |
|---|---|---|
| 140 Northstar Dr, Holts Summit, MO 65043-1123 | 5738968301 | SSM REGIONAL HEALTH SERVICES |
| 2511 W Edgewood Dr D, Ssm Health Urgent Care, Jefferson City, MO 65109-5869 | 5737610304 | SSM REGIONAL HEALTH SERVICES |
| 3527 W Truman Blvd, 100 Ssm Health Medical Group Family Medicine, Jefferson City, MO 65109-5715 | 5737617979 | SSM REGIONAL HEALTH SERVICES |
| Organization Legal Name | SSM REGIONAL HEALTH SERVICES |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Marso | Nurse Practitioner | Ssm Regional Health Services | 2511 W Edgewood Dr D, Ssm Health Urgent Care, Jefferson City, MO 65109-5869 |
| Joanna L Younker | Family Medicine | Ssm Regional Health Services | 2511 W Edgewood Dr G, Ssm Health Med Grp Fam Medicine, Jefferson City, MO 65109-5869 |
| Rachel J Edmonds | Clinical Social Worker | Ssm Regional Health Services | 2701 W Edgewood, Jefferson City, MO 65109-5890 |
| Christopher A Paynter | Family Medicine | Ssm Regional Health Services | 801 Kidwell Dr, Versailles, MO 65084-1787 |
| Julie A Miller | Nurse Practitioner | Ssm Regional Health Services | 2265 Bagnell Dam Blvd, Suite 103, Lake Ozark, MO 65049-8603 |
| Martha R Mustion | Nurse Practitioner | Ssm Regional Health Services | 301 E Price St A, Savannah, MO 64485-2482 |
| Jason E Cafer | Psychiatry | Ssm Regional Health Services | 2701 W Edgewood Dr, 101 Ssm Health Medical Group Behaviora, Jefferson City, MO 65109-5890 |
| Shannon Wright | Nurse Practitioner | Ssm Regional Health Services | 100 Hwy 28 E, Ssm Health Medical Group Family Practice, Belle, MO 65013-3405 |
| Curtis W Dyer | Family Medicine | Ssm Regional Health Services | 140 Northstar Dr, Holts Summit, MO 65043-1123 |
| Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
| Street Address |
140 NORTHSTAR DR |
| City | HOLTS SUMMIT |
| State | MO |
| Zip | 65043-1123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis W Dyer | Family Medicine | Ssm Regional Health Services | 140 Northstar Dr, Holts Summit, MO 65043-1123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorrie L Campbell | Family Medicine | Capital Region Medical Center | 180 Northstar Dr, Capital Region Physicians, Holts Summit, MO 65043-1123 |
| Jerry J Bruggeman | Family Medicine | Advanced Senior Care, Inc | 229 Karen Dr, Holts Summit, MO 65043-2522 |
| Patricia J Struby | Clinical Social Worker | Advanced Senior Care, Inc | 229 Karen Dr, Holts Summit, MO 65043-2522 |
| City | HOLTS SUMMIT |
| Zip Code | 65043 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLTS SUMMIT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ashley Sandbothe.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.