DR. D.O. Jesse Sandoval, NPI 1972552271
Phlebology Physician in Boise, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1972552271 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. Jesse Sandoval |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1199 Shoreline Ln, #310, Boise, ID, US |
| Provider Mailing Address | Po Box 7130, Boise, ID, US, 837071130 |
| Gender | Male |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Phlebology Physician |
| Classification | |
| Group | |
| License No. | O124 |
| License State | ID |
| Description | Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0124 | ID | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 000010145826 | ID | REGENCE BLUE SHEILD | 01 |
| 200489062 | ID | UNITED HEALTH CARE | 01 |
| 200489062 | ID | PRINCIPAL LIFE INSURANCE | 01 |
| 200489062 | ID | FIRST HEALTH | 01 |
| 004314700 | ID | MEDICAID | 05 |
| 200489062 | ID | HCS HEALTH CLAIMS SERVICE | 01 |
| S4620 | ID | BLUE CROSS OF IDAHO | 01 |
| 0004676625 | ID | AETNA | 01 |
| 200489062 | ID | CIGNA HEALTH CARE | 01 |
| 200489062 | ID | PRIMARY HEALTH NETWORK | 01 |
| 200489062 | ID | TRICARE WEST | 01 |
| 200489062 | ID | MUTUAL OF OMAHA | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | Provider direct messaging address | No | 506 Lake St, Kenai, AK, US |
Other Providers in ID, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Canopy Behavioral Health, Pllc Organization |
2596 N Stokesberry Pl Ste 180 |
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MS Lucas Jay Hooker Individual |
136 S Academy Ave |
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Sight Partners Physicians, P.c. Organization |
2175 N Main St |
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Morgan Raye Horine Individual |
1301 E 17th St |
||
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DPT Scott Treat Individual |
3360 S 15th E |
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Landmark Medical Of Idaho Pc Organization |
322 E Front St Ste 400 |
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DR. D.C. Julie Lee Restad Individual |
1012 W Main St |
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MSOTR/L Michelle Leigh Dietz Individual |
7211 W Franklin Rd |
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|
MS. PA-C Ivy Meg Wilson Individual |
2893 S Cadet Pl |
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|
DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
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Shannon Finnegan Individual |
6051 W Emerald St |
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|
Mrc Llc Organization |
450 W State St Ste 270 |
||
|
Bedside Xray Service Inc Organization |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
1110 N Five Mile Rd |
|
|
Highland Physical Therapy Llc Organization |
1951 Bench Rd Suite E |
||
|
Bruce W Hamerl O D P C Organization |
8300 W Overland Rd |
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|
Front Line Ems, Llc Organization |
575 Old Highway 30 |
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|
MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
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|
PA-C Todd M Otstot Individual |
206 E Elm St |
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|
PT, DPT Katherine Buschhorn Individual |
1951 Bench Rd Ste E |
||
|
Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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