Individual provider Active NPI

Susan M Sandler, MD

  • Family Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1821069519
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044708L Issued in PA
Practice address
306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105
Phone
(484) 476-7255
Fax
(484) 476-7854
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044708L PA Primary

Addresses

Primary practice location

306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105

Mailing address

306 E Lancaster Ave Ste 300
Wynnewood, PA 19096-2105
Phone (484) 476-7255

Other practice location 1

306 E Lancaster Ave Fl 3
Wynnewood, PA 19096-2105
Phone (484) 476-7255

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000150 PA Practitioner - Family Practice 5698891760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Family Medicine CurrentSince Jul 14, 1992 Accepting new patients

Locations

121 Coulter Ave
Ste 102
Ardmore, PA 19003
Phone (610) 649-5033

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

306 E Lancaster Ave
Ste 300
Wynnewood, PA 19096
Phone (484) 476-7255

306 E Lancaster Ave
Fl 3
Wynnewood, PA 19096
Phone (484) 476-7255

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1821069519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 300",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7255",
            "fax_number": "484-476-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E LANCASTER AVE STE 300",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962105",
            "telephone_number": "484-476-7255",
            "fax_number": "484-476-7854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 E Lancaster Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Wynnewood",
            "state": "PA",
            "postal_code": "190962105",
            "country_code": "US",
            "telephone_number": "484-476-7255",
            "fax_number": "484-476-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044708L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.