Organization Active NPI

McLean R Sanborn, MD, PA

  • Family Medicine Physician
  • Decatur, TX
National Provider Identifier
1386904639
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N8453 Issued in TX
Legal business name
MCLEAN R SANBORN, MD, PA
Practice address
2014 Ben Merritt Dr
Suite a
Decatur, TX 76234-3850
Phone
(940) 627-0013
Fax
(940) 627-1900
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. McLean Richard Sanborn, MD
Title
Owner/President
Phone
(940) 627-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N8453 TX Primary

Addresses

Primary practice location

2014 Ben Merritt Dr
Suite a
Decatur, TX 76234-3850

Mailing address

2014 Ben Merritt Dr
Suite a
Decatur, TX 76234-3850
Phone (940) 627-0013

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherTXBCBS
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

Locations

2014 Ben Merritt Dr
Ste A
Decatur, TX 76234
Phone (940) 249-9009

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1386904639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343850",
            "telephone_number": "940-627-0013",
            "fax_number": "940-627-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343850",
            "telephone_number": "940-627-0013",
            "fax_number": "940-627-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN R SANBORN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "MCLEAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "940-627-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N8453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.