MD Mark C Sanderson, NPI 1073604609
Plastic and Reconstructive Surgery Physician in American Fork, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1073604609 |
| NPI Entity Type | Individual |
| Provider Name | MD Mark C Sanderson |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1184 E 80 N, American Fork, UT, US |
| Provider Mailing Address | 1055 N 500 W, Credentialing Department, Provo, UT, US, 846043305 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Plastic and Reconstructive Surgery Physician |
| Classification | |
| Group | |
| License No. | 187115-1205 |
| License State | UT |
| Description | A surgeon who specializes in plastic and reconstructive surgery. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 187115-1205 | UT | No | |||
| 187115-1205 | UT | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 107005288103 | UT | IHC | 01 |
| 13-00081 | UT | UNITED HEALTHCARE | 01 |
| 215832 | UT | ALTIUS | 01 |
| 54270 | UT | DMBA | 01 |
| 870281028SAN | UT | EMIA | 01 |
| 79371 | UT | PEHP | 01 |
| 870281028000 | UT | MEDICAID | 05 |
| P00167990 | UT | PALMETTO | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | Yes | 1184 E 80 N, American Fork, UT, US |
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