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MATTHEW SANDRIDGE DO NPI 1215361449


NPI Information

NPI: 1215361449
Provider Name: MATTHEW SANDRIDGE, DO
Classification: Preventive Medicine - 2083A0100X
Entity Type: Individual

Specialization: Aerospace Medicine

PECOS Registration: Yes

Address:
280 1ST ST
HOLLOMAN AFB, NM
ZIP 88330
Phone: (575) 572-2778
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Matthew Sandridge, DO is an aerospace medicine preventive medicine in Holloman Afb, NM. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. Matthew Sandridge, DO NPI is 1215361449. 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:

280 1ST ST
HOLLOMAN AFB, NM
ZIP 88330-273
Phone: (575) 572-2778

The NPI 1215361449 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2013 and was last updated on 8/2/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083A0100XPreventive MedicineAerospace Medicine0102203890VIRGINIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.