Ilsa Sanchez, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R4284 Issued in AR

Practice address

200 E Military Rd
Marion, AR 72364-1811

Phone

(870) 739-9300

Fax

(870) 739-2209

NPI assigned

May 4, 2006

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

Other identifiers 2

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.

• Ilsa Sanchez MD PLLC

  • Family Medicine Physician
  • Marion, AR
  • NPI 1366564056
  NPD (past)
• Kejo Medical PLLC

  • Clinic/Center
  • Marion, AR
  • NPI 1194279539
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1821046608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MILITARY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641811",
            "telephone_number": "870-739-9300",
            "fax_number": "870-739-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MILITARY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641811",
            "telephone_number": "870-739-9300",
            "fax_number": "870-739-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ILSA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "R4284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHEILD",
            "identifier": "5J575",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128069001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Ross
• Leann Ruddick, PT
• Van Elina Ruffin, MHPP
• Juanita Cassie Rutledge, CASE MANAGER
• Samuel G. Meredith MD PA
• Shiquita Sanders
• Janice Scales, R.N.
• Richard Lance Scarbrough
• Sarah Anderson Schafer, PTA
• Catrina Evette Selvy

• General Practice Physician in Marion, AR
• Providers in Marion, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.