Phyllis B Sandell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

46683 Issued in MA

Practice address

110 Chauncy St
Boston, MA 02111-1720

Phone

(617) 654-7503

NPI assigned

Jul 1, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Universal Mobile Services, Inc.

  • Specialist
  • Haverhill, MA
  • NPI 1770535874
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1801024526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MALDEN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024721826",
            "telephone_number": "617-654-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHAUNCY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111720",
            "telephone_number": "617-654-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELL",
        "first_name": "PHYLLIS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "46683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Blackwood Sandage, LICSW
• Alaina Marie Sandau
• Meital Sandbank, BA
• Neha Sandeep
• Megan T Sandel, MD
• Lily Sander
• Chloe Maren Sanders
• Delia Tikkanen Sanders, MD
• Elischa Jamal Sanders, MD, PHD
• Elizabeth A. Sanders, DPM

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.