Sanford Dermatology, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

21635 Issued in NC

Legal business name

SANFORD DERMATOLOGY, PA

Practice address

827 S Horner Blvd
Sanford, NC 27330-5342

Phone

(919) 775-7926

Fax

(919) 718-0092

NPI assigned

Nov 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John D Cheesborough, M.D.

Title

Doctor

Phone

(919) 775-7926

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Davidson Cheesborough, MD

  • Dermatology Physician
  • Sanford, NC
  • NPI 1396710380
  NPD
• Dawn Elizabeth Kleinman, MD

  • Dermatology Physician
  • Sanford, NC
  • NPI 1629164850
  NPD (past)
• Nicole L Lindsey, PA-C

  • Physician Assistant
  • Sanford, NC
  • NPI 1235250903

  Dermatology

  NPD (past)
• Candace Marin, ARNP

  • Nurse Practitioner
  • Sanford, NC
  • NPI 1164918470
  NPD (past)
• Corynn Haberski Newman, PA-C

  • Medical Physician Assistant
  • Chapel Hill, NC
  • NPI 1316369200
  NPD (past)
• Meredith Carr Newton, P.A.-C

  • Medical Physician Assistant
  • Sanford, NC
  • NPI 1790849479
  NPD (past)
• Mary Candace Seagle, PA-C

  • Physician Assistant
  • Cary, NC
  • NPI 1679869366
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1487720264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305342",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305342",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "CHEESBOROUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-775-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922235",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Care Internal Medicine, P.C.
• Sanford Center for Sleep Disorders, L.L.C.
• Sanford Chemists, Inc.
• Sanford Chemists, Inc.
• Sanford Dermatology PLLC
• Sanford Emergency Group LLC
• Sanford Health and Rehabilitation Co LLC
• Sanford Manor, LLC
• Sanford Medical Group, P.a.
• Sanford Nephrology Clinic PA

• Specialist in Sanford, NC
• Providers in Sanford, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.