Active NPI
Erik Dean Sandstrom, M.D.
- Family Medicine Physician
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-27976
- Practice address
- 30 13TH St
Havre, MT 59501-5222 - Phone
- (406) 265-2211
- Fax
- (406) 262-1615
- NPI assigned
- Jan 27, 2006
- Last updated
- May 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-27976 | KS | Primary |
Addresses
Primary practice location
30 13TH St
Havre, MT 59501-5222
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 265-2211
Other practice location 1
506 Thorpe St
Lakin, KS 67860
Phone (620) 355-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100347630A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-27976 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1962473173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011231",
"telephone_number": "406-265-2211",
"fax_number": "406-262-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015222",
"telephone_number": "406-265-2211",
"fax_number": "406-262-1615"
}
],
"practiceLocations": [
{
"address_1": "506 THORPE ST",
"address_purpose": "LOCATION",
"city": "LAKIN",
"state": "KS",
"postal_code": "67860",
"country_code": "US",
"telephone_number": "620-355-7550",
"fax_number": "620-355-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDSTROM",
"first_name": "ERIK",
"middle_name": "DEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-27976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100347630A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.