Sandel Center for Facial Plastic Surgery LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

D0067391 Issued in MD

Legal business name

SANDEL CENTER FOR FACIAL PLASTIC SURGERY LLC

Practice address

127 Lubrano Drive
Suite 102
Annapolis, MD 21401-7559

Phone

(317) 581-9385

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry D Sandel IV, M.D.NPI 1164624763

Title

Medical Director

Phone

(317) 581-9385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Daniel Sandel IV, M.D.

  • Facial Plastic Surgery Physician
  • Annapolis, MD
  • NPI 1164624763
  Medicare reassignment NPD Authorized official
• Jay Pravin Shah, MD

  • Gynecologic Oncology Physician
  • Irvine, CA
  • NPI 1881665495
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1306018866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DRIVE",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017559",
            "telephone_number": "317-581-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DRIVE",
            "address_2": "SUITE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017559",
            "telephone_number": "317-581-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEL CENTER FOR FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "SANDEL",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-581-9385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MD",
            "license": "D0067391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel F. Boles MD PC (Anne Arundel Eye Center)
• Samuel F. Boles, MD P.C (Anne Arundel Eye Center)
• Carly Kathleen Sanchez
• John Paul Mercado Sanchez, NP
• Mark A Sanchez, MD
• Henry Daniel Sandel IV, M.D.
• Anissa Chenai Sanders, CNM
• Deanna Marie Sanders, PSYD
• Jamie Sanders, FNP
• Elizabeth Duncan Sandman, LCSW-C, LCSW

• Facial Plastic Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Facial Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.