Individual provider Active NPI

David James Sandercock, DO

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1871672436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0185 Issued in TX
Practice address
3338 Oakwell Court
Suite 107
San Antonio, TX 78218-3019
Phone
(210) 822-3646
Fax
(210) 822-5242
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0185 TX Primary

Addresses

Primary practice location

3338 Oakwell Court
Suite 107
San Antonio, TX 78218-3019

Mailing address

3338 Oakwell Court
Suite 107
San Antonio, TX 78218-3019
Phone (210) 822-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000111 TX Practitioner - Family Practice 3173593977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North San Antonio Healthcare AssociatesGroup PAC ID 6406830314, 8 clinicians

Practice addresses (Care Compare)

3338 Oakwell CT
Suite 107
San Antonio, TX 78218-3087
Phone (210) 822-3646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North San Antonio Healthcare Associates Family Medicine CurrentSince Mar 19, 1996 Accepting new patients

Locations

3338 Oakwell Ct
Ste 107
San Antonio, TX 78218
Phone (210) 822-3646

Interoperability endpoints

  • Direct secure messaging: david.sandercock.1@14228.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14228/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871672436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 OAKWELL COURT",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183019",
            "telephone_number": "210-822-3646",
            "fax_number": "210-822-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 OAKWELL COURT",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183019",
            "telephone_number": "210-822-3646",
            "fax_number": "210-822-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERCOCK",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.