Active NPI
Mark William Sankey, M.D.
- Diagnostic Radiology Physician
- Langley Afb, VA
National Provider Identifier
1265422240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 44065
- Practice address
- 77 Nealy Ave
Langley Afb, VA 23665-2040 - Phone
- (757) 764-8290
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 44065 | CO | Primary |
Addresses
Primary practice location
77 Nealy Ave
Langley Afb, VA 23665-2040
Mailing address
77 Nealy Ave
Langley Afb, VA 23665-2040
Phone (757) 764-8290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69950856 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44065 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Walton Rural Hospital, LLC | Current | Accepting new patients | |
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1265422240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 NEALY AVE",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-764-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 NEALY AVE",
"city": "LANGLEY AFB",
"state": "VA",
"postal_code": "236652040",
"telephone_number": "757-764-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANKEY",
"first_name": "MARK",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "44065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "69950856",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Langley Afb, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.