Stacey Sanders, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO3875 Issued in FL

Practice address

816 Middle St Apt 1
Fort Lauderdale, FL 33312-7107

Phone

(239) 218-2051

NPI assigned

Feb 3, 2006

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sanders Mobile Podiatry Inc

  • Primary Podiatric Medicine Podiatrist
  • Baltimore, MD
  • NPI 1750327268
  NPD (past) Authorized official
• Professional Management Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
  • NPI 1144653288
  NPD (past)
• Professional Management Services, LLC

  • Podiatrist
  • Baltimore, MD
  • NPI 1699731810
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1114999158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127107",
            "telephone_number": "239-218-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127107",
            "telephone_number": "239-218-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "3875",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sanchez
• Onaida Sanchez
• Peter Sanchez, MD
• Ruel Pablo Sanchez, PT
• Jane Saemi Sanders, DO
• Zachary Joshua Sanders
• Manveer Sandhawalia, DDS
• Avtar S Sandhu, MD
• Sandhya Nemade, MD, PA
• Chelsea Sandler

• Primary Podiatric Medicine Podiatrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.