Active NPI
Sandra M. Cifor, DO
- Anesthesiology Physician
- Fayetteville, PA
National Provider Identifier
1699760637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS007769L
- Practice address
- 7008 Augusta National
Fayetteville, PA 17222-9418 - Phone
- (301) 730-4212
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | H39929 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS007769L | PA | |
| Anesthesiology Physician | 207L00000X | OS007769L | PA | Primary |
Addresses
Primary practice location
7008 Augusta National
Fayetteville, PA 17222-9418
Mailing address
7008 Augusta National
Fayetteville, PA 17222-9418
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25-1716306 | Other | PA | SOUTH CENTRAL PREFERRED |
| 25-1716306 | Other | PA | HEALTHNET/TRICARE |
| 1569288 | Other | PA | GATEWAY |
| P00458414 | Other | PA | RAILROAD MEDICARE |
| 2183091 | Other | PA | MAMSI |
| 25-1716306 | Other | PA | INFORMED |
| 50074331 | Other | PA | CAPITAL BLUECROSS |
| 1811238 | Other | PA | AETNA HMO |
| 25-1716306 | Other | PA | MULTIPLAN/PHCS |
| 25-1716306 | Other | PA | INTERGROUP |
| G920-0076/85XWCU | Other | PA | CAREFIRST |
| PEARL | Other | PA | HEALTH AMERICA |
| 050514 | Other | PA | MEDICARE GROUP # |
| CI2004294 | Other | PA | HIGHMARK BLUE SHIELD |
| OS007769L | Other | PA | LICENSE |
| 001274270 0001 | Medicaid | PA | |
| 120420418 | Other | PA | DEPT OF LABOR |
| 231587 | Other | PA | UNISON |
| 25-1716306 | Other | PA | DEVON |
| 4521705 | Other | PA | AETNA NON-HMO |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H39929 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Anesthesia Associates LLC | Anesthesiology | 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.
-
- Anesthesiology Physician
- Hagerstown, MD
- NPI 1407964646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1699760637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 AUGUSTA NATIONAL",
"city": "FAYETTEVILLE",
"state": "PA",
"postal_code": "172229418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 AUGUSTA NATIONAL",
"city": "FAYETTEVILLE",
"state": "PA",
"postal_code": "172229418",
"telephone_number": "301-730-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIFOR",
"first_name": "SANDRA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2024-01-22",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H39929",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS007769L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "OS007769L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CENTRAL PREFERRED",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/TRICARE",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1569288",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00458414",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2183091",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INFORMED",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS",
"identifier": "50074331",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1811238",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN/PHCS",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERGROUP",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "G920-0076/85XWCU",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "PEARL",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "050514",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "CI2004294",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OS007769L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001274270 0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "120420418",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "231587",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEVON",
"identifier": "25-1716306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "4521705",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.