Active NPI
Marissa Sanner, CNM
- Midwife
- Media, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW010394
- Practice address
- 1098 W Baltimore Pike
Ste 3106
Media, PA 19063-5139 - Phone
- (610) 891-6240
- Fax
- (610) 891-6244
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW010394 | PA | Primary |
Addresses
Primary practice location
1098 W Baltimore Pike
Ste 3106
Media, PA 19063-5139
Mailing address
1098 W Baltimore Pike
Ste 3106
Media, PA 19063-5139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Main Line Healthcare | Current | Accepting new patients | |
| Main Line Healthcare | Past | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1020 Baltimore Pike
Ste 310
Glen Mills, PA 19342
Phone (484) 227-7532
1098 W Baltimore Pike
Ste 3106
Media, PA 19063
Phone (610) 891-6240
949 New Holland Rd
Reading, PA 19607
Phone (484) 628-2030
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Obstetrics & Gynecology Physician
- West Reading, PA
- NPI 1427149335
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Urgent Care Clinic/Center
- Wynnewood, PA
- NPI 1295214492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1720449176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1098 W BALTIMORE PIKE",
"address_2": "STE 3106",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 W BALTIMORE PIKE",
"address_2": "STE 3106",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635139",
"telephone_number": "610-891-6240",
"fax_number": "610-891-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANNER",
"first_name": "MARISSA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW010394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.