Charles David Sanford, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 3377 Issued in FL

Practice address

4801 S Congress Ave
Suite 301
Lake Worth, FL 33461-4746

Phone

(561) 967-6500

Fax

(561) 433-4175

NPI assigned

Jun 4, 2006

Last updated

Nov 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment Care Compare group
• Orthopedic Center of Palm Beach County, LLC

  dba Sports and Orthopedic Center

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  NPD (past)
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1295773711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 301",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 3377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Sanchez
• Tiffany Sanchez, RDH
• Charles Gaylord Sandell, D.M.D.
• Dianna Sanderson, LMFT
• Dayanni Sanfiel Romero
• Sanitas Group Inc. (Integral Clinic)
• Benedicto P Sanpedro, M.D.
• Marile L Santamarina, MS, PHARMD, CPH, CDE
• Juan Eugenio Santiago, MD
• Rebekah Santiago, PT

• Surgical Physician Assistant in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.