Active NPI
Lori A Sondrol, MD
- Pediatrics Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6617
- Practice address
- 1380 S Columbia Rd - Altru Family Medical Center
Grand Forks, ND 58201 - Phone
- (701) 795-2000
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6617 | ND | Primary |
Addresses
Primary practice location
1380 S Columbia Rd - Altru Family Medical Center
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000107 | ND | Practitioner - Pediatric Medicine | 8820051790 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100
607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357
19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400
715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500
711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365
166 4th St E
Saint Paul, MN 55101
Phone (651) 292-2009
1845 US Highway 59 SE
Ste 800
Thief River Falls, MN 56701
Phone (218) 681-7280
412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1164518429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 S COLUMBIA RD - ALTRU FAMILY MEDICAL CENTER",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-795-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONDROL",
"first_name": "LORI",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ND",
"license": "6617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.