Alfonso L Sangtian Jr., M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

16605 Issued in SC

Practice address

8030 Myrtle Trace Dr
Conway, SC 29526-8957

Phone

(843) 347-4677

Fax

(843) 347-4678

NPI assigned

Aug 1, 2005

Last updated

Sep 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alfonso.sangtian.1@19266.direct.athenahealth.com
• Direct secure messaging: drsangtian@cp.ssdirect.aprima.com

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

• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pawley's Island, SC
  • NPI 1902673130
  Medicare reassignment NPD
• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1427363209
  NPD
• Coastal Pediatrics

  • Pediatrics Physician
  • Conway, SC
  • NPI 1982012829
  NPD
• Careteam Plus, Inc.

  dba Careteam Plus Pharmacy

  • Specialty Pharmacy
  • Conway, SC
  • NPI 1033738133
  NPD (past)
• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1194541383
  NPD (past)

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1598766529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268957",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268957",
            "telephone_number": "843-347-4677",
            "fax_number": "843-347-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGTIAN",
        "first_name": "ALFONSO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "SC",
            "license": "16605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "16605",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166055",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scotia Anne Salcedo, M.S.
• James Joseph Sanders II, DMD
• Alicia Ruth Sanderson, M.D.
• George M. Sandoz, MD
• Susan Sanfilippo
• Leah Sanson, LDO
• Ramalakshmi Santhanam, MD
• Victor Angel Santillana
• Rapheal Sarvis
• Sasser Medical Associates LLC

• Pediatric Adolescent Medicine Physician in Conway, SC
• Providers in Conway, SC by specialty
• Pediatric Adolescent Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.