Individual provider Active NPI

James C Sanderson, MD

  • Ophthalmology Physician
  • Oldsmar, FL
National Provider Identifier
1699876268
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0064489 Issued in FL
Practice address
3885 Tampa Rd
Suite B
Oldsmar, FL 34677-3121
Phone
(813) 925-3223
Fax
(813) 925-0088
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0064489 FL Primary

Addresses

Primary practice location

3885 Tampa Rd
Suite B
Oldsmar, FL 34677-3121

Mailing address

PO Box 1579
Oldsmar, FL 34677-1579
Phone (813) 925-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20041002000162 FL Practitioner - Ophthalmology 0648249912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3885 Tampa Rd
Suite B
Oldsmar, FL 34677-3122
Phone (813) 925-3223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0064489FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart J Kaufman MD & Assoc PA Ophthalmology CurrentSince Apr 22, 2015 Accepting new patients
Stuart J Kaufman MD & Assoc PA CurrentSince Apr 22, 2015 Accepting new patients
James C Sanderson MD LLC CurrentSince Apr 10, 2006 Accepting new patients
St Lukes Surgical Center Inc Ophthalmology Past Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology Past Accepting new patients

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

3885 Tampa Rd
Ste B
Oldsmar, FL 34677
Phone (813) 925-3223

4168 Woodlands Pkwy
Ste B
Palm Harbor, FL 34685
Phone (727) 785-2545

10901 Sheldon Rd
Tampa, FL 33626
Phone (813) 343-3101

6329 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 788-7616

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1699876268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1579",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771579",
            "telephone_number": "813-925-3223",
            "fax_number": "813-925-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 TAMPA RD",
            "address_2": "SUITE B",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773121",
            "telephone_number": "813-925-3223",
            "fax_number": "813-925-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0064489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.