Active NPI
Sanders Surgical Consultants, P.a.
- Surgery Physician
- Jensen Beach, FL
National Provider Identifier
1740777820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.