Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 218898 | NY |
N | 207X00000X | Orthopaedic Surgeon | MD061168L | PA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 218898 | NY |
NPI | 1275503047 |
---|---|
Provider Name | James O Sanders |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 19/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
208880540 | (05) | PA |
E51691 | (02) | PA |
RB6477 | (02) | NY |