Organization Active NPI

Todd a Sandrock DO PC

  • Orthopaedic Surgery Physician
  • Flint, MI
National Provider Identifier
1407020431
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
TS012492 Issued in MI
Legal business name
TODD A SANDROCK DO PC
Practice address
G3169 Beecher Rd
Suite 101
Flint, MI 48532-3611
Phone
(810) 232-6190
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Todd A Sandrock, DO
Title
Orthopedic Surgeon / President
Phone
(810) 232-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X TS012492 MI Primary

Addresses

Primary practice location

G3169 Beecher Rd
Suite 101
Flint, MI 48532-3611

Mailing address

G3169 Beecher Rd
Suite 101
Flint, MI 48532-3611
Phone (810) 232-6190

Other identifiers 8

IdentifierTypeStateIssuer
2052502185OtherBLUE CROSS BLUE SHIELD MI
4577138OtherAETNA
930116191OtherRAILROAD MEDICARE
0990587OtherHEALTHPLUS OF MI
4304480MedicaidMI
930116191OtherUNITED HEALTHCARE
2052502185OtherBLUE CARE NETWORK
F45154OtherHAP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1407020431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "address_2": "SUITE 101",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-232-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "address_2": "SUITE 101",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-232-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A SANDROCK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SANDROCK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON / PRESIDENT",
        "authorized_official_telephone_number": "810-232-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "TS012492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "2052502185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4577138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930116191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MI",
            "identifier": "0990587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4304480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "930116191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "2052502185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F45154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.