Individual provider Active NPI

Sara Nadine Spinner-Block, M.D.

  • Pediatrics Physician
  • Reisterstown, MD
National Provider Identifier
1053389940
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0054628 Issued in MD
Practice address
750 Main St
Reisterstown, MD 21136-2515
Phone
(410) 526-7993
Fax
(410) 526-5144
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0054628 MD Primary

Addresses

Primary practice location

750 Main St
Reisterstown, MD 21136-2515

Mailing address

10084 Reisterstown Rd Ste 200B
Owings Mills, MD 21117-4096
Phone (410) 526-7993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000354 MD Practitioner - Pediatric Medicine 6103840871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0054628MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10084 Reisterstown Rd
Ste 200
Owings Mills, MD 21117

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

750 Main St
Ste 203
Reisterstown, MD 21136
Phone (410) 494-1369

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

515 Fairmount Ave
Ste 200
Towson, MD 21286
Phone (410) 216-1594

Interoperability endpoints

  • Direct secure messaging: saraspinner-block@msp.allscriptsdirect.net
  • Direct secure messaging: sspinnerblock136117@direct.umm.edu

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1053389940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 200B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174096",
            "telephone_number": "410-526-7993",
            "fax_number": "410-526-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-7993",
            "fax_number": "410-526-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNER-BLOCK",
        "first_name": "SARA",
        "middle_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0054628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.