MICHAEL LEE SANDRIDGE (NPI# 1396296836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396296836 |
| Entity Type | Individual |
| Full Name | MICHAEL LEE SANDRIDGE |
| Credential | PA-C |
| Practice Address |
8687 E Via De Ventura Suite 318 Scottsdale AZ 85258-3347 |
| Mailing Address |
8687 E Via De Ventura Ste 318 Scottsdale AZ 85258-3351 |
| Practice Telephone | 4809058755 |
| Practice Fax Number | 4809058851 |
| Mailing Telephone | 4809058755 |
| Mailing Fax Number | 4809058851 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 6577 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8687 E VIA DE VENTURA SUITE 318 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223254 | Martha Rosario Hernandez | Nurse Practitioner | 8687 E Via De Ventura, 318, Scottsdale, AZ 85258-3347 | 2005-08-24 |
| 1659889202 | Maria A Hasan | Licensed Practical Nurse | 8687 E Via De Ventura, Scottsdale, AZ 85258-3347 | 2018-01-17 |
| 1679941140 | Virginia Marie Rivera | Licensed Practical Nurse | 8687 E Via De Ventura, Suite #110, Scottsdale, AZ 85258-3347 | 2015-09-14 |
| 1679941801 | Marshelle Mcneil Stoker | Licensed Practical Nurse | 8687 E Via De Ventura, Scottsdale, AZ 85258-3347 | 2015-09-03 |
| 1689041303 | Jessica Lori Scott | Licensed Practical Nurse | 8687 E Via De Ventura, Suite#110, Scottsdale, AZ 85258-3347 | 2015-08-28 |
| 1215304563 | Canea West | Licensed Practical Nurse | 8687 E Via De Ventura, Suite 110, Scottsdale, AZ 85258-3347 | 2015-08-21 |
| 1700222304 | Marissa Coalette Perez | Registered Nurse | 8687 E Via De Ventura, Ste. 110, Scottsdale, AZ 85258-3347 | 2013-05-22 |
| 1134464472 | Treva Ockenfels | Registered Nurse | 8687 E Via De Ventura, #110, Scottsdale, AZ 85258-3347 | 2012-11-27 |
| 1659672061 | Shawnee Stevenson | Licensed Practical Nurse | 8687 E Via De Ventura, Suite 207, Scottsdale, AZ 85258-3347 | 2010-11-16 |
| 1629270046 | Valerie Hoffman | Psychologist | 8687 E Via De Ventura, Suite 113, Scottsdale, AZ 85258-3347 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| 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 |
|---|---|---|---|---|
| 1962010298 | Katherine Ann Dulin | Physician Assistant | 6633 E Greenway Pkwy Apt 2045, Scottsdale, AZ 85254-2036 | 2020-07-22 |
| 1184242141 | Ashley Barnhill | Physician Assistant | 4848 N Goldwater Blvd Unit 3027, Scottsdale, AZ 85251-1050 | 2020-07-07 |
| 1801413653 | Alexandra Caitlin Mull | Physician Assistant | 2929 N 70th St Apt 2050, Scottsdale, AZ 85251-6351 | 2020-06-28 |
| 1730715582 | Alexandra Rene Thomas | Physician Assistant | 4383 N Parkway Ave Apt 506, Scottsdale, AZ 85251-4025 | 2020-03-12 |
| 1336782390 | Zaid Sidi | Physician Assistant | 8419 E Quarterhorse Trl, Scottsdale, AZ 85258-1365 | 2019-10-22 |
| 1013578327 | Kelley Ann Stapleton | Physician Assistant | 5231 E Poinsettia Dr, Scottsdale, AZ 85254-4702 | 2019-06-26 |
| 1629638093 | Melissa Jean Bere | Physician Assistant | 8896 E Becker Ln Ste 104, Scottsdale, AZ 85260-6281 | 2019-06-18 |
| 1619534682 | Caitlin Nicole Slaughter | Physician Assistant | 10125 E Bloomfield Rd, Scottsdale, AZ 85260-5159 | 2019-05-24 |
| 1215590138 | Kaylee Newsome | Physician Assistant | 9813 E Mirasol Cir, Scottsdale, AZ 85260-2191 | 2019-04-16 |
| 1639641566 | Richele Leann Smart | Physician Assistant | 9060 E Via Linda Ste 250, Scottsdale, AZ 85258-5425 | 2018-12-17 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
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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.