Dr. Sandra Ana Antonovic
M.D. | Pediatrics | Female
Dr. Sandra Ana Antonovic, M.D. is a Tigard, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Sandra Ana Antonovic is
12442 Sw Scholls Ferry Rd, Suite 205, Tigard, Oregon - 97223-0804. She can be contacted on phone at
503-216-9140 and fax number 503-216-9145.
Dr. Sandra Ana Antonovic is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Sandra Ana Antonovic is
1184773319 which was assigned by NPPES on 09 Jan, 2007 and it was last updated on 13 Oct, 2020.
Dr. Sandra Ana Antonovic license number is
MD23792 for Pediatrics (208000000X) in Oregon.
Dr. Sandra Ana Antonovic is a pediatrician who 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.
Complete Profile:
Dr. Sandra Ana Antonovic basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Sandra Ana Antonovic |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Sandra Ana Antonovic address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12442 Sw Scholls Ferry Rd, Suite 205
Tigard, OR, 97223-0804
United States |
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| Phone Number : | 503-216-9140 |
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| Fax Number : | 503-216-9145 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184773319 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jan, 2007 |
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| Last Updated On : | 13 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sandra Ana Antonovic are as mentioned. Primary taxonomy code for Dr. Sandra Ana Antonovic, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD23792 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sandra Ana Antonovic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 272420 | MEDICAID | OR | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | santonovic101784@oc.providencedirect.org
| No affiliation |
|
| 12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR, 97223-0804
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3158
Portland, OR, 97208-3158
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Sandra Ana Antonovic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.