Active NPI
Mark H Sanders, MD
- Specialist
- Wexford, PA
National Provider Identifier
1275508202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD027405E
- Practice address
- 243 Ash CT
Wexford, PA 15090-7817 - Phone
- (724) 934-3316
- NPI assigned
- Feb 22, 2006
- Last updated
- Jan 16, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD027405E | PA | Primary |
Addresses
Primary practice location
243 Ash CT
Wexford, PA 15090-7817
Mailing address
243 Ash CT
Wexford, PA 15090-7817
Phone (724) 934-3316
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 |
|---|---|---|---|
| MD027405E | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1275508202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 ASH CT",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907817",
"telephone_number": "724-934-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 ASH CT",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907817",
"telephone_number": "724-934-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD027405E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.