David G. Sanderson, DPM, PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

SC004253L Issued in PA

Legal business name

DAVID G. SANDERSON, DPM, PC

Practice address

238 Chestnut St
Saint Marys, PA 15857-2304

Phone

(814) 834-7240

Fax

(814) 781-6581

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

David G. Sanderson, DPM

Title

Owner

Phone

(814) 834-7240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1093094088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572304",
            "telephone_number": "814-834-7240",
            "fax_number": "814-781-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572304",
            "telephone_number": "814-834-7240",
            "fax_number": "814-781-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. SANDERSON, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-834-7240",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC004253L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lee Costanzo
• Kerri Marie Coudriet, OTR/L
• Jessica Lynn Cunningham, M.S., CCC-SLP
• Tyler Dahl
• Daniel D. Jones,D.C.
• Delhunty Chiropractic Health & Wellness, PLLC.
• Brandon Michael Delhunty, D.C.
• Kevin Destephano, PT
• Jennifer Ann Detsch, AU.D.
• Leah Mary Dippold, LCSW

• Podiatric Clinic/Center in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Podiatric Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.