Active NPI
Karen Fabach Sanicola, D.P.M.
- Podiatrist
- Hagerstown, MD
National Provider Identifier
1891790416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 471
- Practice address
- 372 Mill St
Hagerstown, MD 21740-6138 - Phone
- (301) 790-2270
- Fax
- (301) 790-2327
- NPI assigned
- Jun 20, 2005
- Last updated
- Nov 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 471 | MD | Primary |
Addresses
Primary practice location
372 Mill St
Hagerstown, MD 21740-6138
Mailing address
372 Mill St
Hagerstown, MD 21740-6138
Phone (301) 790-2270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 980528100 | Medicaid | MD | |
| 1891790416 | Other | MD | RAILROAD MEDICARE GROUP MEMBER PTAN |
| 1891790416 | Other | MD | RAILROAD MEDICARE GROUP MEMBER NPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471 | MD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1891790416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-790-2270",
"fax_number": "301-790-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 MILL ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406138",
"telephone_number": "301-790-2270",
"fax_number": "301-790-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANICOLA",
"first_name": "KAREN",
"middle_name": "FABACH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "980528100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP MEMBER PTAN",
"identifier": "1891790416",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP MEMBER NPI",
"identifier": "1891790416",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.