Individual provider Active NPI

Sean Ondra Sanderson, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glen Burnie, MD
National Provider Identifier
1548496995
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D77551 Issued in MD
Practice address
7704 Quarterfield Rd Ste E
Glen Burnie, MD 21061-4412
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
May 29, 2009
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA12040300 NJ
Physical Medicine & Rehabilitation Physician 208100000X MD448094 PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D77551 MD Primary

Addresses

Primary practice location

7704 Quarterfield Rd Ste E
Glen Burnie, MD 21061-4412

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Other practice location 1

2401 Brandermill Blvd Ste 210
Gambrills, MD 21054-1692
Phone (855) 527-7246

Other practice location 2

23619 Oak View Dr Ste R
California, MD 20619-2496
Phone (855) 527-7246

Other practice location 3

25 Kinnelon Rd Ste K
Kinnelon, NJ 07405-2337
Phone (973) 915-3301

Other identifiers 1

IdentifierTypeStateIssuer
2143054 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140728000311 MD Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2365685278 Reassigns benefits to 1 organization
I20190716000027 DC Practitioner - Pain Management 2365685278 Reassigns benefits to 1 organization
I20240130000016 NJ Practitioner - Physical Medicine and Rehabilitation 2365685278

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7704 Quarterfield Rd
Suite E
Glen Burnie, MD 21061-4412
Phone (855) 527-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12040300NJMDPhysical Medicine & Rehabilitation Physician
MD448094PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

23619 Oak View Dr
Ste R
California, MD 20619

1576 Merritt Blvd
Ste 18
Dundalk, MD 21222
Phone (443) 530-9750

2401 Brandermill Blvd
Ste 210
Gambrills, MD 21054

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

7704 Quarterfield Rd
Ste E
Glen Burnie, MD 21061
Phone (410) 553-9444

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: sean.sanderson.1@11679.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1548496995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017096",
            "telephone_number": "855-527-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 QUARTERFIELD RD STE E",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614412",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Brandermill Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541692",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23619 Oak View Dr Ste R",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206192496",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Kinnelon Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Kinnelon",
            "state": "NJ",
            "postal_code": "074052337",
            "country_code": "US",
            "telephone_number": "973-915-3301",
            "fax_number": "973-915-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "SEAN",
        "middle_name": "ONDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA12040300",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD448094",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D77551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143054 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.