IndividualActive
Sandra Lodge
NPI 1417924499 · Physician Assistant · Troy, MI
Sandra Lodge is a Physician Assistant provider in Troy, MI (NPI 1417924499).
Provider details
- NPI number
- 1417924499
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5601003636 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Street-level locationGet directions
Mailing address
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2017-10-23
Frequently asked questions
- What is Sandra Lodge's NPI number?
- Sandra Lodge's National Provider Identifier (NPI) is 1417924499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Lodge's specialty?
- Sandra Lodge is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sandra Lodge located?
- Sandra Lodge's practice location on file with NPPES is 44201 Dequindre Rd, Troy, MI 48085-1117.
- What is Sandra Lodge's phone number?
- The practice phone number listed in the NPPES registry for Sandra Lodge is (248) 964-5000.
- Is Sandra Lodge's NPI active?
- Yes — Sandra Lodge's NPI (1417924499) is active in the NPPES registry as of the last update on 2017-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.