SANFORD CARDIOLOGY, PLLC (NPI# 1740237767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740237767 |
| Entity Type | Organization |
| Organization Name | SANFORD CARDIOLOGY, PLLC |
| Practice Address |
110 Fields Dr Suite A Sanford NC 27330-5072 |
| Practice Telephone | 9197779005 |
| Practice Fax Number | 9197081550 |
| Mailing Telephone | 9197779005 |
| Mailing Fax Number | 9197081550 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | MR. CYRUS J FAIRCLOTH II (CEO) |
| Authorized Official Telephone | 9102955511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
123151 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS NC | 020VA | 01 | |
| NC | 5950478 | 05 | |
| NC | PALMETTO GBA GROUP# | DC4848 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629303540 | Sanford Cardiology, Pllc | Internal Medicine | 110 Fields Drive, Suite A, Sanford, NC 27330-5072 | 2009-10-09 |
| Street Address |
110 FIELDS DR SUITE A |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578992541 | Unc Physicians Netwrok, LLC | Internal Medicine | 110 Fields Dr, Suite #a, Sanford, NC 27330-5066 | 2013-11-10 |
| 1750507463 | Lukas Jantac | Internal Medicine | 110 Fields Dr, Suite A, Sanford, NC 27330-5072 | 2007-04-18 |
| 1609971068 | Michael Joseph Gillespie | Internal Medicine | 110 Fields Dr, Suite A, Sanford, NC 27330-5066 | 2006-09-13 |
| 1700827177 | Mahmoud Khadir Atieh | Internal Medicine | 110 Fields Dr, Suite A, Sanford, NC 27330-5072 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881909851 | Central Carolina Family Practice,pc | Clinic/Center | 118 S Gulf St, Sanford, NC 27330-4211 | 2010-08-13 |
| 1427266873 | Women's Health Care Specialist, Pa | Clinic/Center | 109a S Vance St, Sanford, NC 27330-4239 | 2007-05-18 |
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| 1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
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| 1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
| 1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.