Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Sandberg, DO

Individual provider Anesthesiology Physician · NPI 1457094807

Jeremy Sandberg, DO is an Anesthesiology in Dayton, Ohio. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2022, 4 years ago. Works from 2 locations. Licensed in Missouri.

Years since qualifying
4
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
MO
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

405 W Grand Ave
Dayton, OH 45405-7538
Phone: (937) 723-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 N Kentucky Ave, West Plains, MO 65775-2029 — (417) 256-9111

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2026021219 (MO)

Record details

NPI number1457094807
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address405 W Grand Ave, Dayton, OH 45405-7538

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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