Active NPI
Sanford Surgical Specialties, P.a.
- Orthopaedic Surgery Physician
- Sanford, NC
National Provider Identifier
1780789628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 117811
- 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, 2010
- 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
- Ms. Laura L Farmer
- Title
- Office Manager
- Phone
- (919) 775-7146
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 117811 | NC | Primary |
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014W5 | Other | NC | BCBSNC |
| 89014W5 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.