Active NPI
Mary Ella Sanders, MD
- Therapeutic Radiology Physician
- Baton Rouge, LA
National Provider Identifier
1740200922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- 013271
- Practice address
- 4950 Essen Lane
Baton Rouge, LA 70809-3482 - Phone
- (225) 767-0847
- Fax
- (225) 766-0218
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | 013271 | LA | Primary |
Addresses
Primary practice location
4950 Essen Lane
Baton Rouge, LA 70809-3482
Mailing address
4950 Essen Lane
Baton Rouge, LA 70809-3482
Phone (225) 767-0847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1310867 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients | |
| Lsu Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1740200922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 ESSEN LANE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093482",
"telephone_number": "225-767-0847",
"fax_number": "225-766-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 ESSEN LANE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093482",
"telephone_number": "225-767-0847",
"fax_number": "225-766-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MARY ELLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "LA",
"license": "013271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1310867",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.