CLYDE FAGG SANFORD MD NPI 1528053857

NPI Information

  • NPI: 1528053857
  • Provider Name: CLYDE FAGG SANFORD, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 703 S FLEISHEL AVE
    STE 4000
    TYLER, TX
    ZIP 75701
  • Phone: (903) 606-7000

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NPI Details

Clyde Fagg Sanford, MD is a cardiovascular disease internal medicine in Tyler, TX with 49 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Clyde Fagg Sanford, MD NPI is 1528053857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

703 S FLEISHEL AVE
STE 4000
TYLER, TX
ZIP 75701-015
Phone: (903) 606-7000

The NPI 1528053857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 7/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseE9970TEXASYes
2207RI0011XInternal MedicineInterventional CardiologyE9970TEXASNo
3207R00000XInternal MedicineE9970TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1128834206MEDICAIDTEXAS
24538099OTHERTEXASAETNA
3038665009OTHERTEXASUNITED HEALTHCARE
4128834202MEDICAIDTEXAS
5089421JOTHERTEXASBCBS
6752616977007OTHERTEXASTRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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