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

MS. Emily Burgess Sandfort, PA-C

Individual provider Physician Assistant · NPI 1770835415

MS. Emily Burgess Sandfort, PA-C is a Physician Assistant in Green Bay, Wisconsin. Licensed in Oregon, Pennsylvania and Wisconsin. Registered with an NPI since 2012.

Licensed in
OR, PA, WI
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (414) 294-8828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA173023 (OR)
Physician Assistant Taxonomy 363A00000X · Licence MA055740 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3100-23 (WI)

Record details

NPI number1770835415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2012
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

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