NPIMap

Individual provider Active NPI

Jinoh Sandberg, D.O

  • Diagnostic Radiology Physician
  • Camp Lejeune, NC
National Provider Identifier
1043585904
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102203964 Issued in VA
Practice address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(757) 472-1298
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102203964 VA Primary

Addresses

Primary practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone (757) 472-1298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505000797 VA Practitioner - Diagnostic Radiology 7113358201 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Rockbridge Community HospitalGroup PAC ID 4789658261, 104 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

282 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 721-2689

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 731-2862

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8700

Hospital & facility affiliations

  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302
  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102203964VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients

Locations

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

1015 Spring Creek Pkwy
#130
Zion Crossroads, VA 22942
Phone (434) 243-9198

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1043585904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "757-472-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "757-472-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "JINOH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102203964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.