Individual provider Active NPI

Sarah Brandell, PA-C, MPAS

  • Medical Physician Assistant
  • Dayton, OH
National Provider Identifier
1922552454
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.004773RX Issued in OH
Practice address
180 E Spring Valley Pike Ste B
Dayton, OH 45458-3803
Phone
(937) 736-0893
NPI assigned
Aug 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.004773RX OH Primary

Addresses

Primary practice location

180 E Spring Valley Pike Ste B
Dayton, OH 45458-3803

Mailing address

180 E Spring Valley Pike Ste B
Dayton, OH 45458-3803
Phone (937) 736-0893

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004773RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Observation Medicine Physicians of Champaign County, LTD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1922552454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E SPRING VALLEY PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583803",
            "telephone_number": "937-736-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E SPRING VALLEY PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454583803",
            "telephone_number": "937-736-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDELL",
        "first_name": "SARAH",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.004773RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.