Stephanie M Sanderson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33928 Issued in TN

Practice address

1060 Peerless Xing, NW #100
Peerless Pediatrics
Cleveland, TN 37312-3784

Phone

(423) 339-5656

Fax

(423) 339-8889

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0626300

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peerless Pediatrics, PLLC

  • Pediatrics Physician
  • Cleveland, TN
  • NPI 1902083702
  NPD (past)
• Skyridge Clinical Associates, LLC

  • Internal Medicine Physician
  • Cleveland, TN
  • NPI 1184728347

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1902870231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW STE 100",
            "address_2": "PEERLESS PEDIATRICS",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123785",
            "telephone_number": "423-339-5656",
            "fax_number": "423-339-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING, NW #100",
            "address_2": "PEERLESS PEDIATRICS",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123784",
            "telephone_number": "423-339-5656",
            "fax_number": "423-339-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "33928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Doss Samuel
• George A. Samuel, D.O.
• Cayla Jacqueline Sanchez, BA
• Hayley Sanchez
• Abby Sanders
• Peggy G Sandidge, MED LPC MHSP
• Sandra J. McKee Dba Quality Home Care
• Lauren Gabrielle Alfonso Santos, DDS
• Sarath B Gangavarapu MD PC
• Julie Katelyn Savage, ATC

• Pediatrics Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.