Ronald K Sandberg, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

7666 Issued in TN

Practice address

7557A Dannaher Dr
Suite 210
Powell, TN 37849-3558

Phone

(865) 521-8050

Fax

(865) 544-5816

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1184708455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557A DANNAHER DR",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557A DANNAHER DR",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "RONALD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710126",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Rotondo, M.D.
• Cheryl Jeanne Ruhlen, MA
• Melissa S Rutherford, PHARM.D.
• Samuel Tate Rutherford, OTD, OTR/L
• Ratheany Sakbun, MD
• Thiveya Sathiyaseelan, MD
• Anita R Scheiman, FNP-BC
• Michael S. Schroeder, M.D.
• David G. Schutter, MD
• Ilene Schwind, DO

• Otolaryngology Physician in Powell, TN
• Providers in Powell, TN by specialty
• Otolaryngology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.