DR. BLAIR JAMES SANDALL (NPI# 1043445091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043445091 |
| Entity Type | Individual |
| Full Name | DR. BLAIR JAMES SANDALL |
| Credential | DPM |
| Practice Address |
1347 N. Greenfield Rd Suite 101 Mesa AZ 85205-4072 |
| Mailing Address |
1347 N Greenfield Rd Ste 101 Mesa AZ 85205-4072 |
| Practice Telephone | 4806998762 |
| Practice Fax Number | 4806998350 |
| Mailing Telephone | 4803826619 |
| Mailing Fax Number | 8666465962 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0704 | AZ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 531450 | 05 |
| Street Address |
1347 N. GREENFIELD RD SUITE 101 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680505 | Thornridge Medical and Management Inc | Podiatrist | 6104 E Brown Rd Ste 101, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1326408782 | Kraemer Medical Inc | Podiatrist | 6104 E Brown Rd Ste 102, Mesa, AZ 85205-4953 | 2016-02-28 |
| 1255715579 | Patrick Gillihan | Podiatrist | 10238 E Hampton Ave Ste 107, Mesa, AZ 85209-3317 | 2015-07-16 |
| 1912313875 | Jordan Frank Hirschi | Podiatrist | 2147 N 30th St, Mesa, AZ 85213-3179 | 2014-07-10 |
| 1568705952 | Socorro Gabriela Montes | Podiatrist | 1520 S Dobson Rd Ste 307, Mesa, AZ 85202-4700 | 2013-04-03 |
| 1922395821 | Brandon Mecham | Podiatrist | 6116 E Arbor Ave Ste 118, Mesa, AZ 85206-6104 | 2011-06-30 |
| 1467786228 | Advanced Center for Foot & Ankle | Podiatrist | 2815 S Alma School Rd Ste 119b, Mesa, AZ 85210-4031 | 2009-09-28 |
| 1083840318 | Mia Melillo Horvath | Podiatrist | 1620 S Stapley Dr Ste 132, Mesa, AZ 85204-6655 | 2009-06-01 |
| 1295714525 | Cameron Rafael Mckay | Podiatrist | 220 N Stapley Dr, Mesa, AZ 85203-8057 | 2006-01-13 |
| 1740284207 | Ronald Alva Nagy | Podiatrist | 555 N Gilbert Rd, Ste 102, Mesa, AZ 85203-7551 | 2005-06-10 |
| Find all providers in MESA | ||||
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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.