Active NPI
Amelia Jill Sandoe, M.D.
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MT207646
- Practice address
- 10 Shurs LN Ste 301
Philadelphia, PA 19127-2123 - Phone
- (215) 967-1632
- Fax
- (215) 482-1095
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT207646 | PA | Primary |
Addresses
Primary practice location
10 Shurs LN Ste 301
Philadelphia, PA 19127-2123
Mailing address
10 Shurs LN Ste 301
Philadelphia, PA 19127-2123
Phone (215) 967-1632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23131 Bothell Everett Hwy
Suite B
Bothell, WA 98021-9362
Phone (425) 483-3335
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Evergreenhealth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT207646 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Family Medicine | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1013323898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SHURS LN STE 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191272123",
"telephone_number": "215-967-1632",
"fax_number": "215-482-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SHURS LN STE 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191272123",
"telephone_number": "215-967-1632",
"fax_number": "215-482-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOE",
"first_name": "AMELIA",
"middle_name": "JILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT207646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.