Individual provider Active NPI

James L Sanderford Jr., MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1003892274
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24042 Issued in NC
Practice address
1365 Westgate Center Dr
Suite K-1
Winston Salem, NC 27103-2980
Phone
(336) 760-4450
Fax
(336) 760-6197
NPI assigned
Dec 20, 2005
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24042 NC Primary

Addresses

Primary practice location

1365 Westgate Center Dr
Suite K-1
Winston Salem, NC 27103-2980

Mailing address

1365 Westgate Center Dr
Suite K-1
Winston Salem, NC 27103-2980
Phone (336) 760-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24042NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health Systems Corp. Past Accepting new patients
Southeastern Overread Services PLLC Diagnostic Radiology Past Accepting new patients
Southeastern Radiology PA Diagnostic Radiology Past Accepting new patients
Yadkin River Radiology PA Diagnostic Radiology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1003892274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR",
            "address_2": "SUITE K-1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032980",
            "telephone_number": "336-760-4450",
            "fax_number": "336-760-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WESTGATE CENTER DR",
            "address_2": "SUITE K-1",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032980",
            "telephone_number": "336-760-4450",
            "fax_number": "336-760-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFORD",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "24042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.