Harold Loyd Sandrock Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-00-2386-S Issued in OH

Practice address

1296 Tod PL NW
Warren, OH 44485-2474

Phone

(330) 306-5030

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1235189044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 INGRAM DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125856",
            "telephone_number": "330-758-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 TOD PL NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852474",
            "telephone_number": "330-306-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDROCK",
        "first_name": "HAROLD",
        "middle_name": "LOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-2386-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284259",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34-00-2386-S",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystle Ann Sandeen
• Jeffrey Sanders, LPCC
• Jodi Sanders
• Josh Sandker
• Selinda C Sandoval, MBA, B.S, NA, HHA
• Katherine Ann Sanko, PC/CR
• Frank Starlin Santana Martinez
• Luis R Santiago Jr., RN
• Shaunquelle Sapp, LPC
• Ehab LF Sargious, MD

• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.