Emily E. Sandberg, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

60220351206 Issued in UT

Practice address

3110 W. 300 N.
Ste a
West Point, UT 84015

Phone

(801) 614-5140

Fax

(801) 614-5144

NPI assigned

Jul 17, 2006

Last updated

Sep 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  Medicare reassignment NPD
• Associates for Inpatient Medicine, LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1750488433
  NPD (past)
• Care-Plus PC

  dba Nowcare

  • Primary Care Clinic/Center
  • Roy, UT
  • NPI 1710031760
  NPD (past)
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  NPD (past)
• Sara Arrington, a.P.R.N., P.L.L.C

  dba Heart and Soul Family Medicine

  • Primary Care Clinic/Center
  • West Point, UT
  • NPI 1649719063
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1164440665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W. 300 N.",
            "address_2": "STE A",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-614-5140",
            "fax_number": "801-614-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W. 300 N.",
            "address_2": "STE A",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-614-5140",
            "fax_number": "801-614-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "EMILY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "60220351206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Lynn Penland
• Lindsey Adams Reese
• Christopher Robins, D.D.S.
• Roe RX Inc (Roe Family Lake View Pharmacy)
• Mariko Rowe
• Sara Arrington, a.P.R.N., P.L.L.C (Heart and Soul Family Medicine)
• Daniel J Sedgwick, DPT, ATC
• Meagen Alene Shaw
• Kyle Allen Shegrud, DPT
• Smiths Food & Drug Centers Inc (Smith's Pharmacy #272)

• Medical Physician Assistant in West Point, UT
• Providers in West Point, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.