Organization Active NPI

David G. Sanford, M.D., P.S.C.

  • Ophthalmology Physician
  • Middlesboro, KY
National Provider Identifier
1285740951
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DAVID G. SANFORD, M.D., P.S.C.
Practice address
1502 Cumberland Ave
Middlesboro, KY 40965-1223
Phone
(606) 248-0932
Fax
(606) 248-1384
NPI assigned
Aug 22, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David George Sanford, M.D.
Title
Owner
Phone
(606) 248-0932

National Provider Directory

National Provider Directory

Locations

1502 Cumberland Ave
#728
Middlesboro, KY 40965

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1502 Cumberland Ave
Middlesboro, KY 40965-1223

Mailing address

1502 Cumberland Ave
Middlesboro, KY 40965-1223
Phone (606) 248-0932

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
65945487MedicaidKY
000000284679OtherKYANTHEM GROUP NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2016.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468627200000",
    "number": "1285740951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "606-248-0932",
            "fax_number": "606-248-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651223",
            "telephone_number": "606-248-0932",
            "fax_number": "606-248-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. SANFORD, M.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-07-16",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-248-0932",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65945487",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "000000284679",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; 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.