MS. SARAH SANDBERG (NPI# 1831215482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831215482 |
| Entity Type | Individual |
| Full Name | MS. SARAH SANDBERG |
| Other Name | MS. SARAH ELIZABETH HOUSTON GROSE |
| Credential | PA |
| Practice Address |
41 Brewster Rd Bristol CT 06011-0977 |
| Mailing Address |
128 S Highland St West Hartford CT 06119-1833 |
| Practice Telephone | 2035853000 |
| Mailing Telephone | 8605085492 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1838 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225589666 | Sarah Sandberg | Counselor | 3115 Innovation Dr, Saint Cloud, FL 34769-6501 | 2016-10-20 |
| 1366602625 | Sarah Anne Sandberg | Internal Medicine | 3980 Colonnade Pkwy, Birmingham, AL 35243-2382 | 2008-06-11 |
| Street Address |
41 BREWSTER RD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06011-0977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004977 | Kara A Lynch | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2005-06-23 |
| 1881294486 | Gretchen Holloway | Nurse Practitioner | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-11-01 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| 1992311195 | Davina Dube | Family Medicine | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-09-22 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1770192726 | Elina Tannenbaum | Registered Nurse | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-07-27 |
| 1093331670 | Kendra Jade Mcgregor | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-06-19 |
| 1043832066 | Michael Owen Richards | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-05-13 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1336703511 | Rachel Driscoll | Dietitian, Registered | 41 Brewster Rd, Bristol, CT 06010-5161 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770690802 | Sheri Ann Gelzaines | Dietitian, Registered | Brewster Road, Bristol, CT 06011 | 2006-08-24 |
| 1477515625 | Charles Barnicoat | Physician Assistant | Bristol Hospital, Bristol, CT 06011 | 2006-04-04 |
| 1659606028 | Lise D Lawrence | Dietitian, Registered | 41 Brewster Road, Bristol, CT 06011 | 2009-10-02 |
| 1295877017 | Laureen Whitney | Pharmacist | Brewster Road, Bristol, CT 06011 | 2007-02-12 |
| 1508948274 | Collaborative Laboratory Services-bristol | Clinical Medical Laboratory | Brewster Road, Bristol, CT 06011 | 2006-10-20 |
| 1922023829 | Jennifer Muneyyirci Dugan | Emergency Medicine | Bristol Hospital, Brewster Road, Bristol, CT 06011 | 2006-07-12 |
| 1952319915 | Pacifico G Flores Jr. | Internal Medicine | 665 Terryville Ave, Bristol, CT 06011-0465 | 2006-08-04 |
| 1891795316 | Surendran Raja Raja Varma | Internal Medicine | 621 Terryville Ave, Bristol, CT 06011-0570 | 2005-07-27 |
| 1124051750 | Antonio Santoro | Physician Assistant | Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 | 2006-07-08 |
| 1598033342 | Mep of Bristol, LLC | Emergency Medicine | Brewster Road, Bristol, CT 06011-0977 | 2011-12-08 |
| Find all providers in zip 06011 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033252 | Amanda Jean Lutz | Physician Assistant | 335 Radcliffe St, Bristol, PA 19007-5015 | 2011-07-28 |
| 1780846428 | Damon Troy Bartley | Physician Assistant | One Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2008-06-25 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1992348254 | Bethanie Patton | Physician Assistant | 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 | 2019-10-18 |
| 1144773524 | Christopher M Haniford | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2016-08-02 |
| 1912385980 | Alison Joyce | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-05-11 |
| 1265824379 | Joseph Ambrogio | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-02-26 |
| 1104228022 | Christopher Tagliavini | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2014-09-23 |
| 1265831093 | Dena A. Skowronski | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2014-08-18 |
| Find all providers in BRISTOL | ||||
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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.