DR. LORI JACQUEMIN SANFORD (NPI# 1427282763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427282763 |
| Entity Type | Individual |
| Full Name | DR. LORI JACQUEMIN SANFORD |
| Credential | M.D. |
| Practice Address |
300 E Boyd Ave Ste 209 Greenfield IN 46140-2834 |
| Practice Telephone | 3179677921 |
| Mailing Telephone | 3179677921 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01072559A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201100610A | 05 | |
| IN | MEDICARE | IN2966001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558529271 | Lori Ann Sanford | Occupational Therapist | 111 S Railroad Ave, Dunn, NC 28334-4853 | 2008-05-29 |
| Street Address |
300 E BOYD AVE STE 209 |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739886 | Lawrence Jacob Lo | Obstetrics & Gynecology | 300 E Boyd Ave, Ste 208, Greenfield, IN 46140-2818 | 2005-06-10 |
| 1346613866 | Christine Ohara | Physician Assistant | 300 E Boyd Ave, Suit 100, Greenfield, IN 46140-2834 | 2015-11-05 |
| 1992174825 | Laura E Sims | Nurse Practitioner | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2834 | 2015-09-22 |
| 1275965311 | John Wildman | Physician Assistant | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2013-07-31 |
| 1255774006 | Caitlin Anne Mcgrath | Physician Assistant | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2013-04-11 |
| 1518222553 | Ashley Sevenbergen | Nurse Practitioner | 300 E Boyd Ave, Suite 250, Greenfield, IN 46140-2834 | 2012-07-05 |
| 1881994648 | Pamela A Burnett | Family Medicine | 300 E Boyd Ave, Suite 120, Greenfield, IN 46140-2834 | 2010-10-27 |
| 1730499542 | Dena Kathleen Oconnor | Respiratory Therapist, Certified | 300 E Boyd Ave, Ste 100 American Health Network, Greenfield, IN 46140-8742 | 2010-10-14 |
| 1285965541 | Cheryl Shaw | Dietitian, Registered | 300 E Boyd Ave, Suite 100, Greenfield, IN 46140-2816 | 2010-01-26 |
| 1295996346 | Julia Degler | Family Medicine | 300 E Boyd Ave, Suite #120, Greenfield, IN 46140-2834 | 2008-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1811040926 | Anthony George Yug | Dermatology | 6790 W Layton Ave, Greenfield, WI 53220-4527 | 2007-01-19 |
| 1841350428 | Joel Gordon, Md | Dermatology | 33 Riddell St Ste 4, Greenfield, MA 01301-2008 | 2006-12-12 |
| 1104887223 | Vernon Dale Casterline | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-03-29 |
| 1215924634 | Robert W. Averill | Dermatology | 474 Main St, Greenfield, MA 01301-3315 | 2005-09-30 |
| 1609003557 | Elizabeth Nord Fahrenbach | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2009-06-18 |
| 1578639753 | Patsy D. Needham | Dermatology | 400 W Green Meadows Dr, Suite 110, Greenfield, IN 46140-3204 | 2006-11-28 |
| 1164458741 | Layton Avenue Dermatology Associates, S.c. | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-06-24 |
| 1770546053 | James Edward Ethington | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-08 |
| 1447256656 | Greenfield Dermatology, P.C. | Dermatology | 300 E Boyd Ave, Ste 209, Greenfield, IN 46140-2818 | 2005-06-22 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 46140 |
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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.