Sandra C. Foote MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

C1-0002091 Issued in DE

Legal business name

SANDRA C. FOOTE MD LLC

Practice address

310 Mullet Run
Milford, DE 19963-5371

Phone

(302) 422-4056

Fax

(302) 422-4156

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra C. Foote, MD

Title

Owner

Phone

(302) 422-4056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1982883054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635086",
            "telephone_number": "302-422-4056",
            "fax_number": "302-422-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MULLET RUN",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635371",
            "telephone_number": "302-422-4056",
            "fax_number": "302-422-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA C. FOOTE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-422-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0002091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000080702",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Milford, DE
• Providers in Milford, DE by specialty
• Specialist in Delaware

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