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

Doing business as

Sanders Skin Care Center

Practice address

3649 Main Ave
Durango, CO 81301-4030

Phone

(970) 375-1707

Fax

(970) 382-9518

NPI assigned

May 31, 2011

Last updated

Jan 31, 2012By the provider in NPPES

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.NPI 1588670582

Title

Owner

Phone

(970) 375-1707

Specialties & licenses 1

Addresses

Other names 1

• Sanders Skin Care Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan F Sanders, M.D.

  • Dermatology Physician
  • Durango, CO
  • NPI 1588670582
  Authorized official Same address or phone

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"
        }
    ]
}

• Clayton Richard Sullwold, D.C.
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• Sunrise Surgical Services PLLC
• Sunshine Gardens Group LLC
• Ashley Sutton, FNP
• Ethan Alexander Sutton, PTA
• Benjamin Swank
• Anna Christine Swanson, PHARMD
• Erik J Swanson, MSPT

• 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.