Individual provider Active NPI

Jane Elizabeth Sande, M.D.

  • Pediatrics Physician
  • Van Wert, OH
National Provider Identifier
1063516656
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35078507 Issued in OH
Practice address
140 Fox Rd Ste 201
Van Wert, OH 45891-2492
Phone
(419) 232-2323
Fax
(419) 232-2322
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD19982 ME
Pediatric Hematology & Oncology Physician 2080P0207X MD037750 DC
Pediatric Hematology & Oncology Physician 2080P0207X 24713 AL
Pediatrics Physician 208000000X 35078507 OH Primary

Addresses

Primary practice location

140 Fox Rd Ste 201
Van Wert, OH 45891-2492

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other identifiers 2

IdentifierTypeStateIssuer
009995210MedicaidAL
009995220MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsande626371@direct.osumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240321002021 OH Practitioner - Pediatric Medicine 2961554266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078507OHMDPediatrics Physician
24713ALMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
The Children'S Hospital of Alabama Pediatrics Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

140 Fox Rd
Ste 201
Van Wert, OH 45891
Phone (419) 232-2077

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1063516656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD STE 201",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912492",
            "telephone_number": "419-232-2323",
            "fax_number": "419-232-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDE",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD19982",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "DC",
            "license": "MD037750",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AL",
            "license": "24713",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35078507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009995210",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009995220",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsande626371@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "140 Fox Rd Ste 304",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.