NPIMap

Individual provider Active NPI

Daniel Bradley Sack, M.D.

  • Anesthesiology Physician
  • Cockeysville, MD
National Provider Identifier
1851340228
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0046344 Issued in MD
Practice address
9 Forwood CT
Cockeysville, MD 21030-1433
Phone
(443) 834-6681
Fax
(410) 853-7578
NPI assigned
May 10, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0046344 MD Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0046344 MD

Addresses

Primary practice location

9 Forwood CT
Cockeysville, MD 21030-1433

Mailing address

9 Forwood CT
Cockeysville, MD 21030-1433
Phone (443) 834-6681

Other identifiers 2

IdentifierTypeStateIssuer
411759000MedicaidMD
P00377751OtherMDRR MEDICARE

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

OrganizationSpecialtyStatusNew patients
Zinder Anesthesia Associates LLC Past Accepting new patients
Medstar Health Anesthesia Services C, LLC Anesthesiology Past Accepting new patients
Francu One LLC Past Accepting new patients
Zinder Anesthesia, LLC Anesthesiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Harborview Anesthesia Associates-Allan M Birenberg M.D. P.a. Anesthesiology Past Accepting new patients
Woodholme Gastroenterology Assoc PA Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1851340228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FORWOOD CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301433",
            "telephone_number": "443-834-6681",
            "fax_number": "410-853-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 FORWOOD CT",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301433",
            "telephone_number": "443-834-6681",
            "fax_number": "410-853-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "DANIEL",
        "middle_name": "BRADLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0046344",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0046344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411759000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00377751",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.