Ernest Lenwood Sanders Jr., M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

29659 Issued in NC

Practice address

2949 New Bern Ave
Suite 108
Raleigh, NC 27610-1248

Phone

(919) 231-4454

Fax

(919) 231-4456

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831240944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-231-4454",
            "fax_number": "919-231-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 108",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-231-4454",
            "fax_number": "919-231-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "ERNEST",
        "middle_name": "LENWOOD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "29659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974451",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Alexus Sanders, LCSWA
• Courtney Sanders
• Courtney Brown Sanders, LCSW
• Daphne Stewart Sanders, LCSW
• Dawn Sanders, LPCA
• Evelyn Sanders, MSW
• Hannah Sanders
• Karen Sanders
• Kesi B Sanders
• Kya Sanders

• Adult Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.