Sanford Cardiology, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

123151 Issued in NC

Legal business name

SANFORD CARDIOLOGY, PLLC

Practice address

110 Fields Drive
Suite a
Sanford, NC 27330-5072

Phone

(919) 777-9005

Fax

(919) 708-1550

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rhandal N Smart

Title

Ceo

Phone

(910) 295-5511

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1629303540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDS DRIVE",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305072",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDS DRIVE",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305072",
            "telephone_number": "919-777-9005",
            "fax_number": "919-708-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "RHANDAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-295-5511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "123151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902813",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.