Active NPI
Kristian Laszlo Sandor, M.D.
- Surgery Physician
- Pikesville, MD
National Provider Identifier
1033465695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0078799
- Practice address
- 1314 Bedford Ave
Pikesville, MD 21208 - Phone
- (610) 400-4253
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D78799 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT202981 | PA | |
| Surgery Physician | 208600000X | D0078799 | MD | Primary |
Addresses
Primary practice location
1314 Bedford Ave
Pikesville, MD 21208
Mailing address
3119 Roberts LNDG
Finksburg, MD 21048-1352
Phone (610) 400-4253
Other practice location 1
3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D78799 | MD | MD | Family Medicine Physician |
| D0078799 | MD | MD | Surgery Physician |
| MT202981 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontline Physicians Corp | Surgery | Current | Accepting new patients |
Locations
1314 Bedford Ave
Pikesville, MD 21208
Phone (410) 484-1344
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Pikesville, MD
- NPI 1356983811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1033465695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 ROBERTS LNDG",
"city": "FINKSBURG",
"state": "MD",
"postal_code": "210481352",
"telephone_number": "610-400-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 BEDFORD AVE",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "610-400-4253"
}
],
"practiceLocations": [
{
"address_1": "3601 SW 160th Ave",
"address_2": "SUITE 250",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330276308",
"country_code": "US",
"telephone_number": "877-866-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOR",
"first_name": "KRISTIAN",
"middle_name": "LASZLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D78799",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT202981",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0078799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.