Sandra L. Sackett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA001846L Issued in PA

Practice address

100 N Academy Ave
Danville, PA 17822-0209

Phone

(570) 271-5185

Fax

(570) 271-5718

NPI assigned

Oct 26, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Anthony & Banerjee MD PA

  • Infectious Disease Physician
  • Baltimore, MD
  • NPI 1083690143
  NPD (past)
• Medstar Good Samaritan Physicians LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1679996078
  NPD (past)
• The Good Samaritan Hospital of Maryland, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1114351863
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235214412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220209",
            "telephone_number": "570-271-5185",
            "fax_number": "570-271-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "SANDRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001846L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Rymarczuk, MD
• Jaewon Ryu, MD
• Aseel Bassam Mohd Saadeh
• Dhuha A Saber, PHARMD
• Mahmoud T. Sabri, M.D.
• Kashif Saeed, MD
• Simran Sahni
• Henna Saiyed
• Joshua Adam Salazar, MS
• Bonnie A. Salbert, D.O.

• Physician Assistant in Danville, PA
• Providers in Danville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.