Susan F. Sanders MD Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

28524 Issued in CO

Legal business name

SUSAN F. SANDERS MD PROFESSIONAL CORPORATION

Practice address

3649 Main Ave
Durango, CO 81301-4030

Phone

(970) 375-1707

Fax

(970) 382-9518

NPI assigned

May 31, 2011

Organization subpart

No

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

Authorized official

Name

Susan F Sanders, M.D.

Title

Owner

Phone

(970) 375-1707

Specialties & licenses 1

Addresses

Other names 1

• Sanders Skin Care Center Doing business as

Locations

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1629362249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014030",
            "telephone_number": "970-375-1707",
            "fax_number": "970-382-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014030",
            "telephone_number": "970-375-1707",
            "fax_number": "970-382-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F. SANDERS MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-375-1707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "28524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanders Skin Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Durango, CO
• Providers in Durango, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.