Active NPI
Sharon Ellen Neibel-Pondek, M.D.
- Pediatric Adolescent Medicine Physician
- Bel Air, MD
National Provider Identifier
1083720445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- D38038
- Practice address
- 4C North Ave
Suite 403
Bel Air, MD 21014-2330 - Phone
- (410) 838-0343
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | D38038 | MD | Primary |
Addresses
Primary practice location
4C North Ave
Suite 403
Bel Air, MD 21014-2330
Mailing address
1138 Sparrow Mill Way
Bel Air, MD 21015-6134
Phone (410) 838-0343
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D38038 | Other | MD | STATE LICENSE NUMBER |
| 543711300 | Medicaid | MD | |
| 208000000X | Other | MD | TAXONOMY NUMBER |
| 522272246 | Other | MD | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D38038 | MD | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083720445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 SPARROW MILL WAY",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156134",
"telephone_number": "410-838-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4C NORTH AVE",
"address_2": "SUITE 403",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210142330",
"telephone_number": "410-838-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIBEL-PONDEK",
"first_name": "SHARON",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MD",
"license": "D38038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "D38038",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "543711300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY NUMBER",
"identifier": "208000000X",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "522272246",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.