William Max Sandy, M.D,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15285 Issued in NE

Practice address

516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216

Phone

(308) 995-4431

Fax

(308) 995-3247

NPI assigned

Jun 21, 2006

Last updated

May 22, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: william.sandy@nehiidirectmail.org
• Direct secure messaging: williamsandy@pmhc.medalliesdirect.net

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Phelps Memorial Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Holdrege, NE
  • NPI 1588622187

  Corporate Director

  CMS ownership
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936

  Corporate Director

  CMS ownership
• Phelps Memorial Health Center

  dba Phelps Medical Group

  • Rural Health Clinic/Center
  • Holdrege, NE
  • NPI 1891189809

  Corporate Director

  CMS ownership

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.

• Holdrege Medical Clinic, P.C.

  dba Family Medical Specialties

  • Internal Medicine Physician
  • Holdrege, NE
  • NPI 1427089010
  Medicare reassignment NPD Authorized official
• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  NPD
• Holdrege Medical Clinic, P.C.

  • Family Medicine Physician
  • Holdrege, NE
  • NPI 1619454485
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1841236692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "WILLIAM",
        "middle_name": "MAX",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "15285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Internal Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.