Sandra Y Elliott MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

15724 Issued in WV

Legal business name

SANDRA Y ELLIOTT MD INC

Practice address

3501 Maccorkle Ave SE
Suite 202
Charleston, WV 25304-1419

Phone

(304) 421-4514

Fax

(877) 893-7441

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Sandra Young Elliott, MD

Title

Owner

Phone

(304) 421-4514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1346402161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MACCORKLE AVE SE",
            "address_2": "SUITE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041419",
            "telephone_number": "304-421-4514",
            "fax_number": "877-893-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MACCORKLE AVE SE",
            "address_2": "SUITE 202",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041419",
            "telephone_number": "304-421-4514",
            "fax_number": "877-893-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA Y ELLIOTT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-421-4514",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "15724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sanders
• Dusty Sanders, PTA
• Harley David Sanders, PRSS
• Monet Sanders
• Sandra J Lewis M.D. P.L.L.C.
• Charlotte Sands
• Nitin Premnath Sangrampurkar, M.D.
• Alba Sanjuan Sanjuan, MD
• Bashir R. Sankari, M.D.
• Mohamad Riad Sankari, MD

• Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.