NPIMap

Organization Active NPI

Sanford Cardiology, PLLC

  • Medical Specialty Clinic/Center
  • Sanford, NC
National Provider Identifier
1740237767
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
123151 Issued in NC
Legal business name
SANFORD CARDIOLOGY, PLLC
Practice address
110 Fields Dr
Suite a
Sanford, NC 27330-5072
Phone
(919) 777-9005
Fax
(919) 708-1550
NPI assigned
May 27, 2006
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Mr. Cyrus J Faircloth II
Title
Ceo
Phone
(910) 295-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 123151 NC Primary

Addresses

Primary practice location

110 Fields Dr
Suite a
Sanford, NC 27330-5072

Mailing address

110 Fields Dr
Suite a
Sanford, NC 27330-5072
Phone (919) 777-9005

Other identifiers 3

IdentifierTypeStateIssuer
5950478MedicaidNC
DC4848OtherNCPALMETTO GBA GROUP#
020VAOtherBC/BS NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1740237767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDS DR",
            "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 DR",
            "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": "2006-05-27",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-295-5511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "123151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950478",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA GROUP#",
            "identifier": "DC4848",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "020VA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.