Active NPI
Sandra Diane Stratford, MD, MSC
- Preventive Medicine/Occupational Environmental Medicine Physician
- Waltham, MA
National Provider Identifier
1528154267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 205316
- Practice address
- 1601 Trapelo Rd
Suite 176
Waltham, MA 02451 - Phone
- (781) 290-2210
- Fax
- (781) 290-2215
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 205316 | MA | Primary |
Addresses
Primary practice location
1601 Trapelo Rd
Suite 176
Waltham, MA 02451
Mailing address
75 Cambridge Parkway
E1106
Cambridge, MA 02142
Phone (781) 290-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205316 | MA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528154267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CAMBRIDGE PARKWAY",
"address_2": "E1106",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02142",
"telephone_number": "781-290-2213",
"fax_number": "781-290-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 TRAPELO RD",
"address_2": "SUITE 176",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02451",
"telephone_number": "781-290-2210",
"fax_number": "781-290-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATFORD",
"first_name": "SANDRA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "MA",
"license": "205316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.