Lori Jacquemin Sanford, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01072559A Issued in IN

Practice address

300 E Boyd Ave
Ste 209
Greenfield, IN 46140-2834

Phone

(317) 967-7921

NPI assigned

May 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Indiana University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford DermatologyGroup PAC ID 7012206303, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

Merit-based Incentive Payment System (MIPS)

Final score

82.31 of 100Reported as group

Quality

67.3

Promoting interoperability

88

Improvement activities

40

Cost

83.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanford Dermatology

  • Medical Specialty Clinic/Center
  • Greenfield, IN
  • NPI 1447619747
  Medicare reassignment Care Compare group NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003
  Care Compare affiliation

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1427282763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "STE 209",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402834",
            "telephone_number": "317-967-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "STE 209",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402834",
            "telephone_number": "317-967-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "LORI",
        "middle_name": "JACQUEMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01072559A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN2966001",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201100610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton Ryan
• Alexa V Salas Cheever
• Rachel A Sallee, PT,DPT
• Sanford Dermatology
• Sanford Family Dentistry LLC
• Brett Steven Satkamp, MD
• Alyssa Ryan Schlachter, BCBA
• Kaillee Lynn Schnabel
• Robert J. Schnecker Jr., MD
• Jonathon Edward Schroeder, PT, DPT

• Dermatology Physician in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.