Active NPI
Sandie Vaugh Davis, PA
- Physician Assistant
- Bowie, MD
National Provider Identifier
1447285648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0000459
- Practice address
- 15001 Health Center Drive
Bowie Health Center
Bowie, MD 20716 - Phone
- (301) 262-6150
- Fax
- (610) 617-6280
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0000459 | MD | Primary |
Addresses
Primary practice location
15001 Health Center Drive
Bowie Health Center
Bowie, MD 20716
Mailing address
PO Box 1780
Dimensions Health Corporation
Bowie, MD 20716-0780
Phone (800) 777-2455
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0000459 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Health Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Bowie, MD
- NPI 1124057427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447285648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1780",
"address_2": "DIMENSIONS HEALTH CORPORATION",
"city": "BOWIE",
"state": "MD",
"postal_code": "207160780",
"telephone_number": "800-777-2455",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 HEALTH CENTER DRIVE",
"address_2": "BOWIE HEALTH CENTER",
"city": "BOWIE",
"state": "MD",
"postal_code": "20716",
"telephone_number": "301-262-6150",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SANDIE",
"middle_name": "VAUGH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0000459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- 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.