Sharon Anita Wander, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD041787E Issued in PA

Practice address

47 S Washington Street
Wilkes-Barre, PA 18701

Phone

(570) 301-5697

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1518232768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BROOK LANE",
            "city": "MOUNTAINTOP",
            "state": "PA",
            "postal_code": "18707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 S WASHINGTON STREET",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18701",
            "telephone_number": "570-301-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDER",
        "first_name": "SHARON",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD041787E",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD041787-E",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD041787-E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanne Angela Walters
• Michelle Walters
• William Walthour, D.D.S.
• Abigale Walton, CRNP
• Sandra Walton, CRNA
• Stephanie Renee Ward, RN
• Sunny A. Warholic, R.D.
• David Shawn Warke, LCSW
• Letitia Noelle Warunek, PHARM.D.
• Patricia Ann Wascavage, RPH, MBA

• Pediatrics Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.