MR. ROBERT LEE SANDERSON


Address: 3317 N Wimberly Dr, Fayetteville, AR 72703-4056
Phone: 4795212752

MR. ROBERT LEE SANDERSON (NPI# 1548550015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548550015
Entity Type Individual
Full Name MR. ROBERT LEE SANDERSON
Credential PA
Practice Address 3317 N Wimberly Dr
Fayetteville
AR 72703-4056
Mailing Address Po Box 1608
Fayetteville
AR 72702-1608
Practice Telephone 4795212752
Practice Fax Number 4794446942
Mailing Telephone 4795873130
Enumeration Date 2011-04-18
Last Update Date 2011-04-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers ROBERT SANDERSON

NPI Name Taxonomy Address Enumeration
1780649053 Robert E Sanderson Dentist 2112 Lynngate Dr, Hoover, AL 35216-5244 2006-04-19
1265987705 Robert Haynes Sanderson IIi Chiropractor 400 Gatlin Ave, Orlando, FL 32806-6940 2016-08-24
1508070079 Robert G Sanderson Audiologist-Hearing Aid Fitter 44 Washington St, Suite 102a, Brookline, MA 02445-7130 2007-05-10

Office Location

Street Address 3317 N WIMBERLY DR
City FAYETTEVILLE
State AR
Zip Code 72703-4056

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588648885 Sheryl Cash Physician Assistant 3317 N Wimberly Dr, Fayetteville, AR 72703 2005-12-01
1619346848 Jacob Edwards Physical Therapist 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2015-09-17
1831514306 Larrah E Jenkins Physician Assistant 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2014-02-20
1851723019 Thurman Gregory Smith Physician Assistant 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2013-07-30
1376890053 Kimberly Rose Ennis Physical Therapist 3317 N Wimberly Dr, 2nd Floor, Fayetteville, AR 72703-4056 2012-08-13
1669603064 George W Deimel Iv Physical Medicine & Rehabilitation 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2009-08-03
1205063211 Mark L Miedema Family Medicine 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2009-06-17
1487820262 Dustin Lee Pope Occupational Therapist 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2008-05-01
1386863611 Jeffrey William Johnson Orthopaedic Surgery 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2007-04-25
1548389455 Andrew Dunsmore Heinzelmann Orthopaedic Surgery 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 2007-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588276471 Henrietta Elise Mckoy Student in an Organized Health Care Education/Training Program 913 Liberty Ln, Fayetteville, NC 28311-3073 2020-08-20
1346869567 Sahiba Bajwa Student in an Organized Health Care Education/Training Program Uams Northwest Campus, 1125 N. College Avenue, Slot 100, Fayetteville, AR 72703-1908 2020-04-09
1982239463 Ashley A Bethea Student in an Organized Health Care Education/Training Program 4422 Spinel Dr, Fayetteville, NC 28311-6862 2020-03-05
1730719329 Jessica Claire Perrett Student in an Organized Health Care Education/Training Program 150 Oak Shadow Way, Fayetteville, GA 30215-2985 2020-01-22
1215579263 Hallie Hawe Student in an Organized Health Care Education/Training Program 2084 N Chestnut Ave Apt 13, Fayetteville, AR 72703-2242 2019-10-10
1457992877 Daniel Ross Barber Student in an Organized Health Care Education/Training Program 503 Blessings Hill Ln, Fayetteville, TN 37334-9710 2019-10-07
1982160982 Timothy Glenn Higgins Student in an Organized Health Care Education/Training Program 1689 N Whistling Straits Ave Apt 301, Fayetteville, AR 72704-6679 2019-02-14
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1053821165 Yancy T. Dials Student in an Organized Health Care Education/Training Program 340 Ridgemont Dr, Fayetteville, GA 30215-7708 2017-10-03
1881128601 Cynthia Jackson Student in an Organized Health Care Education/Training Program 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 2017-04-18
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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