Active NPI
Sanford Lee Yankow, MD
- Family Medicine Physician
- Edgewood, NM
National Provider Identifier
1699720714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 93-435
- Practice address
- 1851 Old US 66
Edgewood, NM 87015-6784 - Phone
- (505) 286-2396
- Fax
- (505) 286-2398
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0017585 | FL | |
| Family Medicine Physician | 207Q00000X | 93-435 | NM | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 93-435 | NM |
Addresses
Primary practice location
1851 Old US 66
Edgewood, NM 87015-6784
Mailing address
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9499
Phone (505) 286-2396
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017585 | FL | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1699720714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12127B HWY 14 N STE 5",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "870089499",
"telephone_number": "505-286-2396",
"fax_number": "505-286-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 OLD US 66",
"city": "EDGEWOOD",
"state": "NM",
"postal_code": "870156784",
"telephone_number": "505-286-2396",
"fax_number": "505-286-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANKOW",
"first_name": "SANFORD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "0017585",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "93-435",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "93-435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.