DR. ALICIA RUTH SANDERSON


Address: 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306-3154
Phone: 7037805073

DR. ALICIA RUTH SANDERSON (NPI# 1578531919) 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) 1578531919
Entity Type Individual
Full Name DR. ALICIA RUTH SANDERSON
Credential M.D.
Practice Address 2616 Sherwood Hall Ln Ste 408
Alexandria
VA 22306-3154
Mailing Address 8418 Cardinal Rose Ct
Fairfax Station
VA 22039-2532
Practice Telephone 7037805073
Mailing Telephone 1962515240
Enumeration Date 2006-03-10
Last Update Date 2020-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 0101263595 VA Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
0101263595 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
6355 Walker Ln Ste 411, Alexandria, VA 223103250 7033130373

Office Location

Street Address 2616 SHERWOOD HALL LN STE 408
City ALEXANDRIA
State VA
Zip Code 22306-3154

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NPI Name Taxonomy Address Enumeration
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1902388325 James Mompoint Behavioral Analyst 3400 State St Suite G750, Salem, OR 22306 2018-09-01
1821507062 Jennifer Lewis Physical Therapist 6856 Richmond Highway, Alexandria, VA 22306 2017-09-20
1477094860 Kwabena Bonsu Owusu-boateng Family Medicine 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 2017-03-17
1164881397 Luke Maxwell Dillon Family Medicine Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 2016-02-16
1063892743 Bridgitte Matthews Physical Therapist 6856 Richmond Hwy, Alexandria, VA 22306 2015-06-08
1114362076 Costco Wholesale Corporation Pharmacy 7940 Richmond Hwy, Alexandria, VA 22306 2013-05-06
1689919847 Kings Crossing Optometry, LLC Optometrist 6307-d Richmond Highway, Alexandria, VA 22306 2012-11-29
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598953846 Estelle Sukyung Yoo Otolaryngology 2210 Mount Vernon Ave, Suite 205, Alexandria, VA 22301-1361 2007-10-11
1619967254 Paul A Guillory Md A Professional Medical Corporation Otolaryngology 221 Windermere Blvd, Alexandria, LA 71303-3538 2005-10-25
1669471751 James A White IIi Otolaryngology 2920 Jackson Street, Alexandria, LA 71301 2005-07-20
1497280739 It Is Ent, Pllc Otolaryngology 2210 Mount Vernon Ave, Suite 205, Alexandria, VA 22301-1361 2017-04-24
1396151882 Daniel Blaize Noel Otolaryngology 221 Windermere Blvd, Alexandria, LA 71303 2014-07-07
1154641751 Stanley Voigt Otolaryngology 6355 Walker Ln, #411, Alexandria, VA 22310-3245 2010-06-04
1720300882 James T Pate Md A Medical Corporation Otolaryngology 4124 Jackson Street Ext, Alexandria, LA 71303-2752 2010-02-17
1225263411 Courtney Jayme Cutler Raizman Otolaryngology 6355 Walker Ln, Suite 308, Alexandria, VA 22310-3245 2009-05-18
1962663732 Richard Harriman Comstock IIi Otolaryngology 6355 Walker Ln, Suite 308, Alexandria, VA 22310-3245 2008-06-24
1801005590 J A Badeaux IIi Md A Professional Medical Corporation Otolaryngology 2108 Texas Ave Ste 3061, Alexandria, LA 71301 2007-05-21
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City ALEXANDRIA
Zip Code 22306

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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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