Sandal, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

14444 Issued in WV

Legal business name

SANDAL, INC

Doing business as

Emerson Healthcare

Practice address

2910 Emerson Ave
Parkersburg, WV 26104-2519

Phone

(304) 428-1900

Fax

(304) 428-1976

NPI assigned

May 31, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allan Dip Figueroa, M.D.

Title

Physician

Phone

(304) 428-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerson Healthcare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1003017492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042519",
            "telephone_number": "304-428-1900",
            "fax_number": "304-428-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 EMERSON AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261042519",
            "telephone_number": "304-428-1900",
            "fax_number": "304-428-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "DIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-428-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WV",
            "license": "14444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049665000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerson Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Victoria Sams
• Richard James Sams
• Robert Steven Sams, LPC
• Skylar Marie Sams
• Carol Samson
• Tracy L Sanders
• Sane Space PLLC (Sane Space)
• Michele Santer, MOT, OTR/L
• Brownhilda Ntangwen Santo, MD
• Kaitlyn Sarcona

• Preferred Provider Organization in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Preferred Provider Organization in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.