Craig S Sandberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101254 Issued in NE

Practice address

645 Osage St
Sidney Regional Medical Center
Sidney, NE 69162-1714

Phone

(308) 254-5825

Fax

(308) 254-7258

NPI assigned

Mar 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, WY, ID3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4

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.

• Cheyenne County Hospital Association Inc

  dba Sidney Regional Medical Center

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Medicare reassignment NPD
• Bear Lake County Memorial Hospital

  • Critical Access Hospital
  • Montpelier, ID
  • NPI 1336125533
  Medicare reassignment NPD
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Rural Acute Care Hospital
  • Kemmerer, WY
  • NPI 1033221569
  Medicare reassignment NPD
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Critical Access Hospital
  • Kemmerer, WY
  • NPI 1972743011
  Medicare reassignment NPD
• Bear Lake County Memorial Hospital

  dba Bear Lake Internal Medicine

  • Internal Medicine Physician
  • Montpelier, ID
  • NPI 1174741441
  Medicare reassignment
• Cheyenne County Hospital Association

  dba Sidney Regional Medical Center

  • Specialty Pharmacy
  • Sidney, NE
  • NPI 1558077396
  NPD
• Bear Lake County Memorial Hospital

  dba BLMH Bear Lake Clinic

  • Multi-Specialty Clinic/Center
  • Garden City, UT
  • NPI 1538916333
  NPD
• BLMH Mental Health

  dba Bear Lake Memorial Hospital Mental Health

  • Mental Health Counselor
  • Montpelier, ID
  • NPI 1447452800
  NPD
• South Lincoln Hospital District

  dba Arrowhead Family Medicine

  • Rural Health Clinic/Center
  • Evanston, WY
  • NPI 1689207722
  NPD
• South Lincoln Hospital District

  dba South Lincoln Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Kemmerer, WY
  • NPI 1881834927
  NPD
• South Lincoln Hospital District

  dba South Lincioln Medical Clinic

  • Rural Health Clinic/Center
  • Kemmerer, WY
  • NPI 1386716710
  NPD (past)
• South Lincoln Hospital District

  dba South Lincoln Medical Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Kemmerer, WY
  • NPI 1861027369
  NPD (past)

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1295151025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 OSAGE ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621714",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 OSAGE ST",
            "address_2": "SIDNEY REGIONAL MEDICAL CENTER",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621714",
            "telephone_number": "308-254-5825",
            "fax_number": "308-254-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "CRAIG",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5128498-4406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "5128498-8901",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc (Safeway Pharmacy #2555)
• Helena Anne Samson
• Brock Sanchez
• Myrranda Lea Sanchez
• Nicole Sanchez
• Cassara Ann Sanders
• Cheri Lee Sanders
• Justin M Savely
• Malaysy Sayaloune
• Savanna K Sayaloune

• Certified Registered Nurse Anesthetist in Sidney, NE
• Providers in Sidney, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.