Individual provider Active NPI

Stewart Oliver Sanford, MD

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1447464490
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39370 Issued in SC
Practice address
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone
(803) 434-1663
Fax
(803) 434-3894
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD439689 PA
Emergency Medicine Physician 207P00000X 39370 SC Primary

Addresses

Primary practice location

14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (864) 522-8602

Other practice location 1

2020 Proximity Dr
Apt 1414
Charleston, SC 29414
Phone (215) 292-0202

Other practice location 2

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1037

Other identifiers 1

IdentifierTypeStateIssuer
393700MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20160623001856 SC Practitioner - Emergency Medicine 1153513213 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital Inc. CurrentSince Sep 8, 2020 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 8, 2020 Accepting new patients
Prisma Health-Midlands Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health Tuomey Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Sep 8, 2020 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Sep 8, 2020 Accepting new patients
Prisma Health Tuomey CurrentSince Nov 1, 2019 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Observation Medicine Group PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine Past Accepting new patients
South Carolina Em-I Medical Services PC Emergency Medicine PastSince Feb 1, 2017 Accepting new patients
Emergency Medicine Physicians of York County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Genesee County, PLLC Emergency Medicine Past Accepting new patients

Locations

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

1330 Taylor St
Ste 100
Columbia, SC 29201
Phone (803) 434-6410

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1447464490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "864-522-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036896",
            "telephone_number": "803-434-1663",
            "fax_number": "803-434-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Proximity Dr",
            "address_2": "Apt 1414",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29414",
            "country_code": "US",
            "telephone_number": "215-292-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1037",
            "fax_number": "843-402-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "STEWART",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD439689",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "39370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393700",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.