MRS. CATHY DIANE SANDSTROM MD
NPI 1215926845
Pediatrics in Boise, ID

NPI Status: Active since October 17, 2005

Contact Information

6148 N DISCOVERY WAY
SUITE 100
BOISE, ID
ZIP 83713
Phone: (208) 322-5437
Fax: (208) 322-4638

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  • Individual
  • Female
  • Pediatrics

About CATHY SANDSTROM

This page provides the complete NPI Profile along with additional information for Cathy Sandstrom, a pediatrician established in Boise, Idaho with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1215926845 assigned on October 2005. The practitioner's primary taxonomy code is 208000000X with license number M5331 (ID). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1215926845
Provider Name
MRS. CATHY DIANE SANDSTROM MD
Gender
Female
Entity Type
Individual
Location Address
6148 N DISCOVERY WAY SUITE 100 BOISE, ID 83713
Location Phone
(208) 322-5437
Location Fax
(208) 322-4638
Mailing Address
6148 N DISCOVERY WAY SUITE 100 BOISE, ID 83713
Mailing Phone
(208) 322-5437
Mailing Fax
(208) 322-4638
Is Sole Proprietor?
No
Enumeration Date
10-17-2005
Last Update Date
11-07-2012
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A pediatrician like Cathy Sandstrom is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
M5331
License State
ID
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B63945MEDICARE UPIN (02) 
000010005930OTHER (01)BLUE SHIELD
01338OTHER (01)BLUE CROSS OF ID
804257200MEDICAID (05)ID 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215926845
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251821288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 2 + 1 + 2 + 8 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1215926845 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144341637THE PEDIATRIC AND ADOLESCENT CENTER, INC.
Organization
Legal Medicine6148 N DISCOVERY WAY SUITE 100
BOISE, ID 83713
(208) 322-5437
1568451193MR. WILLIAM SULLIVAN BOURQUARD MD
Individual
Pediatrics6148 N DISCOVERY WAY STE 100
BOISE, ID 83713
(208) 322-5437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215926845, enumerated in the NPI registry as an "individual" on October 17, 2005

The provider is located at 6148 N Discovery Way Suite 100 Boise, Id 83713 and the phone number is (208) 322-5437

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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