DR. KEVIN J SANDBERG (NPI# 1831196708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831196708 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J SANDBERG |
| Credential | M.D. |
| Practice Address |
1397 George Dieter Ste D El Paso TX 79936 |
| Mailing Address |
Po Box 26217 El Paso TX 79926-6217 |
| Practice Telephone | 9155988120 |
| Practice Fax Number | 9155988121 |
| Mailing Telephone | 9155988120 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
H6574 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1393 George Dieter Dr, Suite A, El Paso, TX 799367410 | 9155988120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871566117 | Kevin B. Sandberg | Chiropractor | 105 Lafayette Rd, B-3, Hampton Falls, NH 03844-2322 | 2006-02-08 |
| Street Address |
1397 GEORGE DIETER STE D |
| City | EL PASO |
| State | TX |
| Zip Code | 79936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
| 1700896982 | David A Durussel | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2006-08-09 |
| 1184618597 | Brian James August | Physical Medicine & Rehabilitation | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2005-08-31 |
| 1831599794 | Paolo Mimbella | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2014-08-28 |
| 1891810792 | Eastside Rehabilitation Medicine & Pain Clinic, Pa | Physical Medicine & Rehabilitation | 10412 Vista Del Sol Dr, Ste 1b, El Paso, TX 79925-7946 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
| 1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
| 1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
| 1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
| 1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
| 1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
| 1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
| 1710496245 | Advanced Health & Diagnostic Partners | Physical Medicine & Rehabilitation | 95 S Fair Manor Cir, The Woodlands, TX 77382-1085 | 2017-09-27 |
| 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.