Sara E Donnelly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04083 Issued in MD

Practice address

959 Annapolis Rd
Gambrills, MD 21054-1028

Phone

(410) 697-3566

Fax

(410) 697-3566

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Spine Joint and Wellness Center

  • Family Medicine Physician
  • Medina, OH
  • NPI 1376881144
  Medicare reassignment NPD
• Integrated Medicine and Wellness Center, LLC

  • Family Medicine Physician
  • Gambrills, MD
  • NPI 1710571880

  Chiropractor

  NPD
• Outreach Professional Services, Inc

  dba St Vincent Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1104371640
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1104402171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 ANNAPOLIS RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541028",
            "telephone_number": "410-697-3566",
            "fax_number": "410-697-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 ANNAPOLIS RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541028",
            "telephone_number": "410-697-3566",
            "fax_number": "410-697-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108R DiDonato Dr",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192628",
            "country_code": "US",
            "telephone_number": "410-697-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "04083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Victor Demaio, D,C,
• Dentistry for Children of Maryland, LLC
• Susan Elizabeth Dodge, CNM
• Donald R Schneider, MD and Zachary R Schneider, MD PA (BelliAcres Pediatrics)
• Matthew Donnelly
• Theresa Doyle, OTR
• Dr. Olga Baczara
• Terrie Leigh Driscoll, D.D.S.
• DRS Ergent Care, LLC
• DRS Leary , Burroughs and Woods, L.L.C.

• Chiropractor in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.