Organization Active NPI

John H Sand MD

  • Specialist
  • Ellensburg, WA
National Provider Identifier
1992025936
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00021053 Issued in WA
Legal business name
JOHN H SAND MD
Practice address
611 S Chestnut St
Suite B
Ellensburg, WA 98926-4815
Phone
(509) 962-5000
Fax
(509) 925-8468
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. John H Sand, M.D.NPI 1952355281
Title
Physician
Phone
(509) 962-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00021053 WA Primary

Addresses

Primary practice location

611 S Chestnut St
Suite B
Ellensburg, WA 98926-4815

Mailing address

611 S Chestnut St
Suite B
Ellensburg, WA 98926
Phone (509) 962-5000

Other identifiers 1

IdentifierTypeStateIssuer
7119001MedicaidWA

National Provider Directory

National Provider Directory

Locations

611 S Chestnut St
Ste B
Ellensburg, WA 98926
Phone (509) 962-5000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1992025936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CHESTNUT ST",
            "address_2": "SUITE B",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-962-5000",
            "fax_number": "509-925-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHESTNUT ST",
            "address_2": "SUITE B",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264815",
            "telephone_number": "509-962-5000",
            "fax_number": "509-925-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H SAND MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "SAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-962-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00021053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.