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

Active since October 17, 2005
6148 N DISCOVERY WAY, SUITE 100, BOISE, ID 83713(208) 322-5437(208) 322-4638 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Cathy Diane Sandstrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CATHY DIANE SANDSTROM MD (NPI 1215926845) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M5331) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1215926845
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. CATHY DIANE SANDSTROMCredential: MD
Location Address6148 N DISCOVERY WAY, SUITE 100Boise, ID 83713-0201
Mailing Address6148 N Discovery Way, Suite 100Boise, ID 83713-0201 · (208) 322-5437 · Fax (208) 322-4638
Phone(208) 322-5437
Fax(208) 322-4638
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateNovember 7, 2012
✔ NPI 1215926845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · M5331
Definition
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.
6148 N DISCOVERY WAY, Boise, ID 83713
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Other Identifiers 4

Medicare UPINB63945
Other000010005930Blue Shield
Other01338Blue Cross Of Id
Medicaid804257200ID

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE PEDIATRIC AND ADOLESCENT CENTER, INC.
Legal Medicine
6148 N DISCOVERY WAY, SUITE 100
BOISE, ID 83713
Ada County (208) 322-5437
MR. WILLIAM SULLIVAN BOURQUARD MD
Pediatrics
6148 N DISCOVERY WAY, STE 100
BOISE, ID 83713
Ada County (208) 322-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cathy Sandstrom's NPI number?

The NPI number for Cathy Sandstrom is 1215926845. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Cathy Sandstrom located?

Cathy Sandstrom practices at 6148 N Discovery Way Suite 100, Boise, ID 83713. The listed phone number is (208) 322-5437.

What is Cathy Sandstrom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Cathy Sandstrom was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.