Active NPI
David G. Sanford, M.D., P.S.C.
- Ophthalmology Physician
- Middlesboro, KY
National Provider Identifier
1285740951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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 DirectoryLocations
1502 Cumberland Ave
#728
Middlesboro, KY 40965
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65945487 | Medicaid | KY | |
| 000000284679 | Other | KY | ANTHEM 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.