SARA TANDOC (NPI# 1871892760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871892760 |
| Entity Type | Individual |
| Full Name | SARA TANDOC |
| Credential | NP-C |
| Practice Address |
25600 Schoenherr Rd Warren MI 48089-1447 |
| Practice Telephone | 5867776170 |
| Mailing Telephone | 5867776170 |
| Mailing Fax Number | 5867776582 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704240506 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1117 S Van Dyke Rd, Bad Axe, MI 484138467 | 9892692597 | 9892692751 |
| Street Address |
25600 SCHOENHERR RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961990 | Taras Lisowsky | Family Medicine | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2005-12-01 |
| 1104800481 | John Floreno | Family Medicine | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2005-12-01 |
| 1487638573 | Robert I Moretsky | Family Medicine | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737731 | Dominick Lawrence Flarey | Nurse Practitioner | 2400 Niles Cortland Rd Se Ste 4, Warren, OH 44484-3869 | 2020-03-29 |
| 1598813727 | Catherine Luk | Nurse Practitioner | 9 Jennifer Ln, Warren, NJ 07059-6913 | 2007-01-05 |
| 1124492723 | Danielle Hurst | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2015-11-19 |
| 1790164176 | Petra Holka | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2015-05-19 |
| 1932502705 | Kristin Elaine Boyd | Nurse Practitioner | 2760 Parkman Rd Nw, Warren, OH 44485-1635 | 2014-10-07 |
| 1437572120 | Allyssa Bohanan | Nurse Practitioner | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2014-01-30 |
| 1467706457 | Lisa A. White | Nurse Practitioner | 1615 N River Rd Ne, Warren, OH 44483-2437 | 2012-10-30 |
| 1972886950 | Donna Elaine Kaiser | Nurse Practitioner | 8600 E Market St, Suite 8, Warren, OH 44484-2375 | 2011-09-26 |
| 1194058966 | Kathleen Jane Leigh-simms | Nurse Practitioner | 2 Crescent Park W, Warren, PA 16365 | 2009-09-11 |
| 1518081686 | Colleen Ann Mikula | Nurse Practitioner | 28800 Ryan Rd, Suite 320, Warren, MI 48092-4272 | 2007-03-16 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.