Susan A Sanford (NPI# 1467803825, PAC ID# 4688943392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467803825 |
| PAC ID by PECOS | 4688943392 |
| Professional Enrollment ID | I20170711002721 |
| Full Name | Susan A Sanford |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Address |
441 Us Hwy 42 W Warsaw KY 41095-9561 |
| Phone Number | 8595671591 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082798699 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181310 | CARROLL COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 441 Us Hwy 42 W, Warsaw, KY 41095-9561 | 8595671591 | TRIAD HEALTH SYSTEMS, INC. |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Michelle Black | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Cheryl B Baker | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Barbara J Newell | Family Medicine | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Jasmine K Birchall | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Larry C Johnson | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Larry Joseph Gross | Psychiatry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Mark L Miller | Family Medicine | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| William F Metzger | Optometry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Cindy J Haines | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Street Address |
441 US HWY 42 W |
| City | WARSAW |
| State | KY |
| Zip | 41095-9561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Newell | Family Medicine | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Jasmine K Birchall | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Mary D Mcelheney | Psychiatry | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| City | WARSAW |
| Zip Code | 41095 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WARSAW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan A Sanford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.