Active NPI
Jesse Lee Sandlin, M.D.
- Orthopaedic Surgery Physician
- Gettysburg, PA
National Provider Identifier
1942279807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD460512
- Practice address
- 18 Deatrick Dr
Gettysburg, PA 17325-6958 - Phone
- (717) 339-2500
- Fax
- (717) 339-2502
- NPI assigned
- Mar 14, 2006
- Last updated
- Apr 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01061153A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 0101244584 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 46817 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | MD460512 | PA | Primary |
Addresses
Primary practice location
18 Deatrick Dr
Gettysburg, PA 17325-6958
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-2500
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 |
|---|---|---|---|
| 01061153A | IN | MD | Orthopaedic Surgery Physician |
| 46817 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Orthopaedic Surgery & Sports Medicine, Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Ladd Dental Group Inc | Past | Accepting new patients | |
| Southside Physician Network LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Northcentral Indana Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/679/brand/1/csg/319/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Union City, TN
- NPI 1407951106
-
dba Ladd Dental Group of Huntington
- General Practice Dentistry
- Kokomo, IN
- NPI 1801810445
-
- Orthopaedic Surgery Physician
- Logansport, IN
- NPI 1861414427
-
- Internal Medicine Physician
- Colonial Heights, VA
- NPI 1811146194
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1942279807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-339-2500",
"fax_number": "717-339-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 DEATRICK DR",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173256958",
"telephone_number": "717-339-2500",
"fax_number": "717-339-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLIN",
"first_name": "JESSE",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01061153A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101244584",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "46817",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD460512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.