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Deactivated NPI 1336313824 Deactivated / Inactive NPI Male Practitioner

Dr. John Alexander Sandoval , MD

Surgery • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Sandoval has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 16, 2008
NPI Deactivation Date October 21, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Sandoval, MD was a registered Surgery practicing in Memphis, TN. Throughout an active medical career spanning 12 years, Dr. Sandoval provided care at the practice location at 6215 HUMPHREYS BLVD until profile deactivation on 2020-10-21.

Practice Location & Contact Primary Location

Practice Address

6215 Humphreys Blvd
Suite #300

Memphis, TN 381202367

Telephone 9012279870
Associated Practice Facility / Clinic
🏢 Russell H. Patterson Iii, Md Facility NPI 1841287521

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.8 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
75 Specialists

Practicing in Memphis, TN (682 Statewide)

Telehealth Adoption Rate
1.3% 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01062733A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1063978948

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified), RNFA

Dr. Adrianne Myers-Webb , MD

Surgery - Pediatric Surgery

NPI 1548477722

Doctor of Medicine (M.D.)

Jessica Roberts , APRN

Nurse Practitioner - Family

NPI 1619647153

Advanced Practice Registered Nurse

Dr. Walter Ifeadike , MD

Pediatrics - Pediatric Gastroenterology

NPI 1689684839

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 21, 2020

Record deactivated on October 21, 2020

NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2016

Registered at 6215 HUMPHREYS BLVD, SUITE #300, MEMPHIS, TN 381202367 (Tel: 9012279870)

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Updated Business Mailing Address October 25, 2016

Registered at PO BOX 405827, ATLANTA, GA 303845800

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Provider Name / Credentials Updated October 25, 2016

Recorded as JOHN SANDOVAL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Surgery (License #01062733A in IN)

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Initial NPI Registration & Enumeration April 16, 2008

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: 1336313824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2008
Last Update: October 25, 2016
Deactivation Date: October 21, 2020

Mailing Address

Po Box 405827

Atlanta, GA 303845800

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.