DR. MARISA SANDERA (NPI# 1508828971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508828971 |
| Entity Type | Individual |
| Full Name | DR. MARISA SANDERA |
| Credential | M.D. |
| Practice Address |
134 Menger Spgs Suite 1120 Boerne TX 78006-7218 |
| Practice Telephone | 2105935700 |
| Practice Fax Number | 2105935992 |
| Mailing Telephone | 2105935700 |
| Mailing Fax Number | 2105935992 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
M0556 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1745390-01 | 05 | |
| TX | CSHCN | 1745390-02 | 01 |
| TX | 1745390-03 | 05 | |
| TX | BLUE SHIELD | 8S1845 | 01 |
| TX | RR/MEDICARE | P00269397 | 01 |
| Street Address |
134 MENGER SPGS SUITE 1120 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765021 | Tx-i Medical Services Pa | Physician Assistant | 134 Menger Spgs, Boerne, TX 78006-7218 | 2017-08-03 |
| 1528580768 | Floyd Ridge Emergency Physicians Pllc | Emergency Medicine | 134 Menger Spgs, Boerne, TX 78006-7218 | 2017-07-10 |
| 1245698554 | Anita Myers | Dentist | 134 Menger Spgs, #1310, Boerne, TX 78006-7218 | 2016-02-01 |
| 1700295359 | Jordan Alyse Woltersdorf | Nurse Practitioner | 134 Menger Spgs, #1210, Boerne, TX 78006-7218 | 2014-08-07 |
| 1215267919 | Boerne Ob/gyn, P.a. | Obstetrics & Gynecology | 134 Menger Spgs, Suite1360, Boerne, TX 78006-7218 | 2010-01-04 |
| 1720256233 | Medcare Associates, P.a. | Internal Medicine | 134 Menger Spgs, Suite 1100, Boerne, TX 78006-7218 | 2008-02-19 |
| 1366631020 | San Antonio Advanced Medical Group Pa | Family Medicine | 134 Menger Spgs, Suite 1210, Boerne, TX 78006-7218 | 2007-10-18 |
| 1699893610 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 134 Menger Spgs, Suite 1210, Boerne, TX 78006-7218 | 2007-03-27 |
| 1285779868 | Holcomb Pediatrics and Sports Medicine | Pediatrics | 134 Menger Spgs, 1240, Boerne, TX 78006-7218 | 2007-02-21 |
| 1609953496 | Anita C Tonking Myers Dds | Dentist | 134 Menger Spgs, Suite 1310, Boerne, TX 78006-7218 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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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.