Michael E Sandlin MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

8971 Issued in OK

Legal business name

MICHAEL E SANDLIN MD INC

Practice address

1201 S Belmont Ave
Suite 207
Okmulgee, OK 74447-6351

Phone

(918) 758-0555

Fax

(918) 758-3431

NPI assigned

Aug 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael E Sandlin, MD

Title

President/Owner

Phone

(918) 758-0555

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1184737249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BELMONT AVE",
            "address_2": "SUITE 207",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476351",
            "telephone_number": "918-758-0555",
            "fax_number": "918-758-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BELMONT AVE",
            "address_2": "SUITE 207",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476351",
            "telephone_number": "918-758-0555",
            "fax_number": "918-758-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E SANDLIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "SANDLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-758-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.