Active NPI
Rachel Lynn Sargent, MD
- Anatomic Pathology Physician
- Philadelphia, PA
National Provider Identifier
1841455508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD428580
- Practice address
- 3400 Spruce St
6 Founders
Philadelphia, PA 19104-4238 - Phone
- (215) 662-6503
- NPI assigned
- Jul 22, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD425850 | PA | |
| Anatomic Pathology Physician | 207ZP0101X | MD428580 | PA | Primary |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | MD428580 | PA | |
| Hematology (Pathology) Physician | 207ZH0000X | MD428580 | PA |
Addresses
Primary practice location
3400 Spruce St
6 Founders
Philadelphia, PA 19104-4238
Mailing address
3400 Spruce St
6 Founders
Philadelphia, PA 19104-4238
Phone (215) 662-6503
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00648596 | Other | TX | RR MEDICARE |
| 196097301 | Medicaid | TX | |
| 8BA664 | Other | TX | BCBS |
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 |
|---|---|---|---|
| MD425850 | PA | MD | Anatomic Pathology Physician |
| MD428580 | PA | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1841455508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "6 FOUNDERS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST",
"address_2": "6 FOUNDERS",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044238",
"telephone_number": "215-662-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "RACHEL",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD425850",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": "MD428580",
"primary": true
},
{
"code": "207ZP0007X",
"taxonomy_group": "",
"desc": "Pathology, Molecular Genetic Pathology",
"state": "PA",
"license": "MD428580",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "PA",
"license": "MD428580",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00648596",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196097301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BA664",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.