David Gregory Sanderson, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC004253L Issued in PA

Practice address

238 Chestnut St
St Marys, PA 15857-1708

Phone

(814) 834-7240

Fax

(814) 781-6581

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1942207642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158571708",
            "telephone_number": "814-834-7240",
            "fax_number": "814-781-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 CHESTNUT ST",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158571708",
            "telephone_number": "814-834-7240",
            "fax_number": "814-781-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004253L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016017850007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Henry Rudick, MD
• Lynnette M Rupprecht, P.T.
• Saint Marys Area SD
• Joe A Salinas, M.D.
• Chelsea Samick
• Kristine E Santiso, LSW
• Hannnah A Schatz, COTA/L
• Gina Schlimm
• Kristen Schmader, AGACNP
• Robert Joseph Schmidt, MD

• Foot & Ankle Surgery Podiatrist in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.