Individual provider Active NPI

Danielle Teresa Sanders, M.D.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1306167564
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441741 Issued in PA
Practice address
3901 Liberty St
Erie, PA 16509-1689
Phone
(814) 864-5595
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD441741 PA Primary

Addresses

Primary practice location

3901 Liberty St
Erie, PA 16509-1689

Mailing address

4022 Sandalwood Dr
Erie, PA 16506-4764
Phone (814) 833-5124

Other names 1

  • Dr. Danielle Teresa Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD441741PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Medical & Rehab Center Inc Family Medicine CurrentSince Mar 15, 2011 Accepting new patients
Bay City Associates in Podiatry Inc PastSince Mar 15, 2011 Accepting new patients

Locations

3901 Liberty St
Erie, PA 16509
Phone (814) 864-2360

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1306167564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 SANDALWOOD DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064764",
            "telephone_number": "814-833-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LIBERTY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091689",
            "telephone_number": "814-864-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DANIELLE",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "STEVENS",
            "middle_name": "TERESA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.