Active NPI
Keith Ladsen Sanders, M.D.
- Surgery Physician
- Fort Washington, MD
National Provider Identifier
1629280631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0036670
- Practice address
- 6830 Middlefield Terrace
Fort Washington, MD 20744 - Phone
- (301) 630-8825
- Fax
- (301) 630-8825
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0036670 | MD | Primary |
Addresses
Primary practice location
6830 Middlefield Terrace
Fort Washington, MD 20744
Mailing address
6830 Middlefield Terrace
Fort Washington, MD 20744
Phone (301) 630-8825
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0036670 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wythe County Physician Practices LLC | 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
- Wytheville, VA
- NPI 1457168494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629280631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 MIDDLEFIELD TERRACE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-630-8825",
"fax_number": "301-630-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 MIDDLEFIELD TERRACE",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "20744",
"telephone_number": "301-630-8825",
"fax_number": "301-630-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KEITH",
"middle_name": "LADSEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0036670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, 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.