ROBERT ILES SANDIFUR JR. (NPI# 1952403644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952403644 |
| Entity Type | Individual |
| Full Name | ROBERT ILES SANDIFUR JR. |
| Credential | M.D. |
| Practice Address |
2716 E Vista Dr Phoenix AZ 85032-4958 |
| Mailing Address |
Po Box 30713 Phoenix AZ 85046-0713 |
| Practice Telephone | 6024939557 |
| Mailing Telephone | 6024939557 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
9758 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2716 E VISTA DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013485762 | Todd Charles Coslett | Internal Medicine | 4149 W Kaler Dr, Phoenix, AZ 85055 | 2018-11-09 |
| 1689126971 | Azmobilemd | Internal Medicine | 6616 W Gold Mountain Pass, Phoenix, AZ 85083-7454 | 2016-11-02 |
| 1437457058 | Southwest Geriatrics & Internal Medicine Pllc | Internal Medicine | 3825 E Rockingham Rd, Phoenix, AZ 85050-4977 | 2011-03-06 |
| 1619043890 | Stephen J Joyce | Internal Medicine | 5060 N 19th Ave Ste 207, Phoenix, AZ 85015-3212 | 2006-11-28 |
| 1265488258 | Walter John Nieri | Internal Medicine | 6510 N 27th St, Phoenix, AZ 85016-8943 | 2006-05-25 |
| 1700850922 | Andrew W March | Internal Medicine | 7244 N 12th Ave, Phoenix, AZ 85021-8022 | 2006-02-14 |
| 1962067363 | Kehart Lynn Flom Racoma | Internal Medicine | 4527 N 16th St Ste 104, Phoenix, AZ 85016-5353 | 2019-05-01 |
| 1942776646 | Kelly Schultz, LLC. | Internal Medicine | 4555 E Mayo Blvd, Phoenix, AZ 85050-6952 | 2018-10-19 |
| 1033474119 | Kk Mukkavilli Plc | Internal Medicine | 3333 E Indian School Rd, Suite 4, Phoenix, AZ 85018-5015 | 2012-07-05 |
| 1396070819 | Matthew D. Skinner | Internal Medicine | 2601 E Roosevelt St, Dept of Internal Medicine, Phoenix, AZ 85008-4973 | 2009-10-16 |
| Find all providers in PHOENIX | ||||
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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.