Active NPI
Sandra Volden, M.D.
- Family Medicine Physician
- Barksdale Afb, LA
National Provider Identifier
1760436356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 025112
- Practice address
- 2D Medical Group
243 Curtiss Road, Suite 100
Barksdale Afb, LA 71110-2425 - Phone
- (318) 456-6555
- NPI assigned
- May 19, 2006
- 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 | 025112 | LA | Primary |
Addresses
Primary practice location
2D Medical Group
243 Curtiss Road, Suite 100
Barksdale Afb, LA 71110-2425
Mailing address
2D Medical Group
243 Curtiss Road, Suite 100
Barksdale Afb, LA 71110-2425
Phone (318) 456-6555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1423645 | Medicaid | LA | |
| 4Q455F600 | Other | LA | MEDICARE - PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1760436356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2D MEDICAL GROUP",
"address_2": "243 CURTISS ROAD, SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2D MEDICAL GROUP",
"address_2": "243 CURTISS ROAD, SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLDEN",
"first_name": "SANDRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2023-10-25",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "025112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1423645",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PTAN",
"identifier": "4Q455F600",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barksdale Afb, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.