Organization Active NPI

Sanders Surgical Consultants, P.a.

  • Surgery Physician
  • Jensen Beach, FL
National Provider Identifier
1740777820
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SANDERS SURGICAL CONSULTANTS, P.A.
Practice address
3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone
(772) 631-6512
Fax
(772) 925-8651
NPI assigned
Apr 16, 2018
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Douglas Willis Sanders, MD
Title
Owner/Phyician
Phone
(772) 631-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676

Mailing address

3601 NW Federal Hwy
Jensen Beach, FL 34957-3676
Phone (772) 631-6512

Other practice location 1

1801 SE Hillmoor Dr Ste C-208
Port St Lucie, FL 34952-7574
Phone (772) 631-6512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1740777820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573676",
            "telephone_number": "772-631-6512",
            "fax_number": "772-925-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573676",
            "telephone_number": "772-631-6512",
            "fax_number": "772-925-8651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 SE Hillmoor Dr Ste C-208",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527574",
            "country_code": "US",
            "telephone_number": "772-631-6512",
            "fax_number": "772-925-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDERS SURGICAL CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "OWNER/PHYICIAN",
        "authorized_official_telephone_number": "772-631-6512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.