Healthcare Provider Details
I. General information
NPI: 1003495615
Provider Name (Legal Business Name): DOMINIC SANDLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/02/2021
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23
CLEVELAND OH
44195-0001
US
IV. Provider business mailing address
CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23
CLEVELAND OH
44195-0001
US
V. Phone/Fax
- Phone: 216-444-2200
- Fax:
- Phone: 216-444-2200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 35.153762 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 35.153762 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: