DR. JEFFREY ROBERT SANDERSON (NPI# 1336241363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336241363 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ROBERT SANDERSON |
| Credential | MD |
| Practice Address |
4 Park Lane New Milford CT 06776 |
| Practice Telephone | 8603542241 |
| Practice Fax Number | 8603508660 |
| Mailing Telephone | 8603542241 |
| Mailing Fax Number | 8603508660 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 24946 | CT | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
24946 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CARE FAMILY PLAN | 500HBC186CT01 | 01 | |
| ANTHEM NATIONAL ACCOUNT | 56010024946CT2 | 01 | |
| CT | 001249465 | 05 | |
| AETNA | 2043999 | 01 | |
| CT | BLUE SHEILD | 010024946CT02 | 01 |
| HEALTHNET | 041378 | 01 | |
| CIGNA | 2248667002 | 01 | |
| CONNECTICARE | 706114 | 01 | |
| OXFORD | LIS011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464970 | Jeffrey Paul Sanderson | Specialist | 5137 Gus Young Lane, Sanderson Eye Specialists, Edina, MN 55436 | 2005-08-22 |
| 1558354977 | Jeffrey Sanderson | Physical Medicine & Rehabilitation | 405 Tallmadge Rd, Ste. 120, Cuyahoga Falls, OH 44221-3362 | 2005-08-31 |
| Street Address |
4 PARK LANE |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386893048 | Jeffrey R Sanderson Md | Surgery | 4 Park Ln, New Milford, CT 06776-2908 | 2008-09-17 |
| 1831174986 | Kirstin Marion Pilchard | Surgery | 21 Elm St, New Milford, CT 06776-2915 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168177 | Rebecca Pritchard | Surgery | 23 Woodside Ter, Milford, CT 06460-4252 | 2019-05-03 |
| 1518319458 | Muhammad Umer Afzaal | Surgery | 267 Grant St Fl St4, Bridgeport, CT 06610-2805 | 2016-07-04 |
| 1093175085 | Nicholas Mario Passarelli | Surgery | 88 Notch Hill Rd. Apt 183s, North Branford, CT 06471-1861 | 2016-03-03 |
| 1275912818 | David Christopher Aughton | Surgery | 538 Litchfield St Ste 201, Torrington, CT 06790-6669 | 2015-05-28 |
| 1174931463 | Jennifer Berry Matthesen | Surgery | 118 Good Hill Rd, Weston, CT 06883-2809 | 2014-07-30 |
| 1316378615 | Artem Dyatlov | Surgery | 2660 Main St Ste 110, Bridgeport, CT 06606-5301 | 2013-12-11 |
| 1669805974 | Robert John Mulcare | Surgery | 9 Cedarwood Dr, Greenwich, CT 06830-3904 | 2013-08-11 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1164764510 | William Stubenbord | Surgery | 25 Sunset Rd, Old Saybrook, CT 06475-2000 | 2013-03-25 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW MILFORD |
| Zip Code | 06776 |
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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.