Active NPI
Keri Joanne Sank, PA-C
- Surgical Physician Assistant
- Cheverly, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- C0003165
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-2000
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | C0003165 | MD | Primary |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
8015 Safe Harbor CT
Glen Burnie, MD 21060-8526
Phone (410) 360-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2273
901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003165 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Healthcare Associates Inc | Current | Accepting new patients | |
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients |
Locations
15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300
Interoperability endpoints
- ksank102493@direct.umm.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
- Obstetrics & Gynecology Physician
- Laurel, MD
- NPI 1407916646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1003971680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8015 SAFE HARBOR CT",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608526",
"telephone_number": "410-360-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "301-618-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANK",
"first_name": "KERI",
"middle_name": "JOANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C0003165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.