SANDAL, INC (NPI# 1003017492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017492 |
| Entity Type | Organization |
| Organization Name | SANDAL, INC |
| Other Organization Name | EMERSON HEALTHCARE |
| Practice Address |
2910 Emerson Ave Parkersburg WV 26104-2519 |
| Practice Telephone | 3044281900 |
| Practice Fax Number | 3044281976 |
| Mailing Telephone | 3044281900 |
| Mailing Fax Number | 3044281976 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. ALLAN DIP FIGUEROA (PHYSICIAN) |
| Authorized Official Telephone | 3044281900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 14444 | WV | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0049665000 | 05 |
| Other Name | Type Code |
|---|---|
| Emerson Healthcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SANDAL, INC. | 2265 Greentree Dr Ne, Salem, OR 97305 |
| Street Address |
2910 EMERSON AVE |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26104-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221714 | Allan D Figueroa | Family Medicine | 2910 Emerson Ave, Parkersburg, WV 26104-2519 | 2005-08-09 |
| 1114466208 | Sheila Weese | Family Medicine | 2910 Emerson Ave, Parkersburg, WV 26104-2519 | 2017-02-22 |
| 1205028040 | Stephen A. Schemenauer | Physician Assistant | 2910 Emerson Ave, Parkersburg, WV 26104-2519 | 2007-08-15 |
| 1629067905 | Marion Lorraine Culbertson | Nurse Practitioner | 2910 Emerson Ave, Parkersburg, WV 26104-2519 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736758 | Recover Together, Inc. | Internal Medicine | 4421 Emerson Ave, Parkersburg, WV 26104 | 2018-07-09 |
| 1588196596 | Michael R. Cox D.d.s. P.l.l.c. | Dentist | 3705 Emerson Ave., Parkersburg, WV 26104 | 2017-03-29 |
| 1629249578 | Samantha Foggin | Speech-Language Pathologist | 103 Rosemar Center, Parkersburg, WV 26104 | 2008-03-19 |
| 1891825204 | Denise Kirsch | Massage Therapist | 2911 Emerson Ave, Parkersburg, WV 26104 | 2007-03-06 |
| 1558497420 | Lori M Limb | Specialist | 4317 Emerson Ave., Parkersburg, WV 26104 | 2007-02-26 |
| 1225125149 | David Mallory Morford | Dentist | 3903 Emerson Ave, Parkersburg, WV 26104 | 2006-10-10 |
| 1427158484 | Joel David Shiffler | Family Medicine | 2003 Murdock, Ste A, Parkersburg, WV 26104 | 2006-09-22 |
| 1912001074 | L.e.h. Associates, Inc. | Hearing Aid Equipment | 1100 !/2 36th Street, Parkersburg, WV 26104 | 2006-09-11 |
| 1760445035 | Heather Ann Mccarter | Chiropractor | 4315 Emerson Avenue, Parkersburg, WV 26104 | 2006-04-08 |
| 1467438192 | Cathy Anne Dailey | Pediatrics | 3705 Emerson Ave, Parkersburg, WV 26104 | 2005-12-15 |
| Find all providers in zip 26104 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407396773 | Tabula Rasa, Pllc | Preferred Provider Organization | 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827 | 2017-03-06 |
| 1871894006 | Robert C Yee Md PC | Preferred Provider Organization | 120 Professional Park, Beckley, WV 25801-3623 | 2010-11-04 |
| 1366758021 | Levin & Associates Pllc | Preferred Provider Organization | 170 Thompson Dr Ste 103, Bridgeport, WV 26330-2608 | 2010-08-19 |
| 1316159502 | Darnell and Parsons Pllc | Preferred Provider Organization | 4502 Maccorkle Ave., Se, Suite B, Charleston, WV 25304-1835 | 2007-05-03 |
| 1699128678 | Stephens Therapy | Preferred Provider Organization | 523 11th St, Huntington, WV 25701-2210 | 2016-07-14 |
| 1184879660 | Drs Sharps and Looper of Fairmont Pllc | Preferred Provider Organization | 32 Tygart Mall Loop, White Hall, WV 26554 | 2008-11-25 |
| 1730347402 | The Martinsburg Work Center II | Preferred Provider Organization | 24 Integrity Ter, Martinsburg, WV 25405-3524 | 2008-05-29 |
| 1669664231 | P.r.i.d.e. Inc. | Preferred Provider Organization | 699 Stratton St, Logan, WV 25601-4020 | 2007-08-16 |
| 1588718878 | Newpage Pharmacy | Preferred Provider Organization | 22 Orchard St, Piedmont, WV 26750-1036 | 2007-01-23 |
| City | PARKERSBURG |
| Zip Code | 26104 |
Please comment or provide details below to improve the information on SANDAL, INC.
| 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.