Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184773319 Individual Practitioner Female Practitioner

Dr. Sandra Ana Antonovic , MD

Pediatrics • Tigard, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Antonovic, MD is a registered healthcare professional specializing in Pediatrics in Tigard, OR. Practice services are available at 12442 SW SCHOLLS FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12442 Sw Scholls Ferry Rd
Suite 205

Tigard, OR 972230804

Telephone 5032169140
Fax 5032169145
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tigard, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
16 Specialists

Practicing in Tigard, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-13
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD23792

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
272420 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jayme Johnston , PharmD

Pharmacist - Ambulatory Care

NPI 1124577135

Doctor of Pharmacy (Pharm.D.)

Dr. Meghan Mccarthy , PsyD

Psychologist - Clinical

NPI 1306371786

Doctor of Psychology (Psy.D.)

NPI 1396838280

Doctor of Medicine (M.D.)

NPI 1700319688

Doctor of Medicine (M.D.)

NPI 1982619565

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2014

Registered at 12442 SW SCHOLLS FERRY RD, SUITE 205, TIGARD, OR 972230804 (Tel: 5032169140)

📍
Updated Business Mailing Address November 12, 2014

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤
Provider Name / Credentials Updated November 12, 2014

Recorded as SANDRA ANTONOVIC, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Pediatrics (License #MD23792 in OR)

🟢
Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184773319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: October 13, 2020
Sole Proprietor: No

Mailing Address

Po Box 3158

Portland, OR 972083158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.