Sara Tandoc, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704240506 Issued in MI

Practice address

25600 Schoenherr Rd
Warren, MI 48089-1447

Phone

(586) 777-6170

NPI assigned

Mar 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: standoc751899@direct.hfhs.org

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.

• McLaren Thumb Region

  • Rural Health Clinic/Center
  • Bad Axe, MI
  • NPI 1154942662
  NPD (past)

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1871892760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891447",
            "telephone_number": "586-777-6170",
            "fax_number": "586-777-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891447",
            "telephone_number": "586-777-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 S Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484138467",
            "country_code": "US",
            "telephone_number": "989-269-2597",
            "fax_number": "989-269-2751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDOC",
        "first_name": "SARA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704240506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Luise Takish, FNP
• Taleah H Brown
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• Vicky Gail Tanana, OTR/L
• Larry B Tankanow, MD
• Tanni Home Care LLC
• Brittany Tansil, LMSW, CADC
• Efstathios S Tapazoglou, M.D.
• Target Corporation and Subsidiaries

• Adult Health Nurse Practitioner in Warren, MI
• Providers in Warren, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.