Organization Active NPI

Sanford Surgical Specialties, P.a.

  • Orthopaedic Surgery Physician
  • Sanford, NC
National Provider Identifier
1780789628
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
117811 Issued in NC
Legal business name
SANFORD SURGICAL SPECIALTIES, P.A.
Practice address
1816 Doctors Dr
Sanford, NC 27330-5057
Phone
(919) 775-7146
Fax
(919) 774-7922
NPI assigned
Sep 14, 2006
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Ms. Laura L Farmer
Title
Office Manager
Phone
(919) 775-7146

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 117811 NC Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 117811 NC
Durable Medical Equipment & Medical Supplies 332B00000X 117811 NC

Addresses

Primary practice location

1816 Doctors Dr
Sanford, NC 27330-5057

Mailing address

1816 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 775-7146

Other identifiers 2

IdentifierTypeStateIssuer
014W5OtherNCBCBSNC
89014W5MedicaidNC

National Provider Directory

National Provider Directory

Locations

1816 Doctors Dr
Sanford, NC 27330
Phone (919) 708-1555

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1780789628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305057",
            "telephone_number": "919-775-7146",
            "fax_number": "919-774-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305057",
            "telephone_number": "919-775-7146",
            "fax_number": "919-774-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD SURGICAL SPECIALTIES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-775-7146",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "117811",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "117811",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "117811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "014W5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014W5",
            "state": "NC"
        }
    ],
    "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 Oct 28, 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.