Melissa a Sandman MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MELISSA A SANDMAN MD PC

Practice address

1000 E Paris Ave SE Ste 250
Grand Rapids, MI 49546-3680

Phone

(616) 350-9075

Fax

(616) 608-6814

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Melissa A Sandman, MDNPI 1821091299

Title

Owner

Phone

(616) 350-9075

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa A Sandman, MD

  • Surgery Physician
  • Grand Rapids, MI
  • NPI 1821091299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1801919139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-459-0898",
            "fax_number": "616-459-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE STE 250",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-350-9075",
            "fax_number": "616-608-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA A SANDMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "SANDMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-350-9075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johatan Melendez, RN, BSN
• Liliah Melendez
• Kimberly Rachel Meles, D.O.
• Kimberly Ann Melgarejo, PHARMD
• Conner Alan Melinn
• Melissa Deniel PLC
• Melissa Jeanne Vanderzyden
• Melissa Muir Counseling Services PLLC
• Melissa R Tower
• Melita Travis Johnson, LMSW, CCDP

• Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.