MS. EMILY BURGESS SANDFORT PA-C
NPI 1770835415
Physician Assistant in Green Bay, WI

Active since October 04, 2012
835 S VAN BUREN ST, GREEN BAY, WI 54301(414) 294-8828 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Emily Burgess Sandfort Pa-c NPPES

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

MS. EMILY BURGESS SANDFORT PA-C (NPI 1770835415) is an individual physician assistant in Green Bay, Wisconsin, licensed in Oregon (PA173023) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1770835415
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. EMILY BURGESS SANDFORTCredential: PA-C
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address376 Chase AveDe Pere, WI 54115-4071 · (414) 294-8288
Sole ProprietorNo
Enumeration DateOctober 4, 2012
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
NPI 1770835415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OR · PA173023 Licensed in PA · MA055740
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3100-23 (WI)
835 S VAN BUREN ST, Green Bay, WI 54301

Other Providers at the Same Location NPPES 20

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

Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301

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 Emily Sandfort's NPI number?

The NPI number for Emily Sandfort is 1770835415. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Emily Sandfort located?

Emily Sandfort practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (414) 294-8828.

What is Emily Sandfort's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Emily Sandfort was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.