Garry Sanders Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19279 Issued in KY

Legal business name

GARRY SANDERS INC

Practice address

4169 Westport Rd
Louisville, KY 40207-2747

Phone

(859) 351-0946

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garry Sanders, MD

Title

President

Phone

(859) 351-0946

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1336475722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 E HIGH ST # 258",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072747",
            "telephone_number": "859-351-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY SANDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-351-0946",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "19279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Hosea Garrison, LMFT
• Jessica Garrison, BCBA, MA
• Richard N Garrison, MD
• Sandra Evelyn Garrison, LCSW
• Tiffany Garrity
• Daniel Robert Garst, M.D.
• Janice Garth, APRN
• Taylor Garver
• Caroline Garvey, PHARMD, BCGP
• John Joseph Garvey IV

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.