DR. JOHN T SANDLUND MD NPI 1629071204

NPI Information

NPI: 1629071204
Provider Name: DR. JOHN T SANDLUND, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3006
Get Directions

DR. John T Sandlund, MD is a pediatric hematology-oncology pediatrics in Memphis, TN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. John T Sandlund, MD NPI is 1629071204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3006
Fax: (901) 595-3842

The enumeration date for this NPI number is 5/27/2005 and was last updated on 10/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	18286	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	060507302	MEDICAID	TEXAS
2	3808850	MEDICAID	TENNESSEE
3	422400000	MEDICAID	MAINE
4	544206	MEDICAID	ARIZONA
5	2028880	MEDICAID	OHIO
6	0149812	MEDICAID	MONTANA
7	100041300A	MEDICAID	OKLAHOMA
8	205029408	MEDICAID	MISSOURI
9	009912890	MEDICAID	ALABAMA
10	132327001	MEDICAID	ARKANSAS
11	1533882	MEDICAID	LOUISIANA
12	64926892	MEDICAID	KENTUCKY
13	6738303	MEDICAID	VIRGINIA
14	7611304	MEDICAID	NORTH CAROLINA
15	G51408	MEDICARE UPIN	TENNESSEE
16	00117973	MEDICAID	MISSISSIPPI
17	0527861	MEDICAID	IOWA
18	1135589 00	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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