Organization Active NPI

James C Sanderson MD LLC

  • Plastic Surgery Physician
  • Oldsmar, FL
National Provider Identifier
1780785352
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
JAMES C SANDERSON MD LLC
Practice address
3885 Tampa Rd
Suite B
Oldsmar, FL 34677-3121
Phone
(813) 925-3223
Fax
(813) 925-0088
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mr. James C Sanderson, MDNPI 1699876268
Title
Owner
Phone
(813) 925-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070529000090 FL Part B Supplier - Clinic/Group Practice 9234236225 Receives reassigned benefits from 1 practitioner
Practice locations: Oldsmar, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1186444800000",
    "number": "1780785352",
    "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": {
        "organization_name": "JAMES C SANDERSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-925-3223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.