Kevin Michael Sanders, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051774 Issued in PA

Practice address

501 E Main St
Waynesboro, PA 17268-2353

Phone

(717) 765-3400

Fax

(717) 765-3408

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waynesboro HospitalGroup PAC ID 6305830936, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksanders226245@wellspan.direct-ci.com

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.

• Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
  • NPI 1821091059
  Medicare reassignment Care Compare group
• Waynesboro Hospital

  • Emergency Medicine Physician
  • Waynesboro, PA
  • NPI 1881699247
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Waynesboro Hospital

  • Clinic/Center
  • Waynesboro, PA
  • NPI 1083780894

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • Clinic/Center
  • Fayetteville, PA
  • NPI 1306989561

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
  • NPI 1821091059
  Care Compare affiliation

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1609831684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682353",
            "telephone_number": "717-765-3400",
            "fax_number": "717-765-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E MAIN ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682353",
            "telephone_number": "717-765-3400",
            "fax_number": "717-765-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103162524",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ross
• Mark D Roth, MD
• Caitlyn Mary Rothermel, OTR/L
• Joshua Routzahn, PT, DPT
• Tiffany Milan Russell, D.C.
• Deborah M Sarvis, PA-C
• Savage Family Pharmacy Inc
• Rodger William Savage, R.PH.
• Paul Walter Scherer, CRNP
• Erica Schramm, MD

• Medical Physician Assistant in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.