SEAN ONDRA SANDERSON


Address: 1576 Merritt Blvd, Suite 18, Dundalk, MD 21222-2132
Phone: 4436937246

SEAN ONDRA SANDERSON (NPI# 1548496995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548496995
Entity Type Individual
Full Name SEAN ONDRA SANDERSON
Credential MD
Practice Address 1576 Merritt Blvd
Suite 18
Dundalk
MD 21222-2132
Mailing Address 7920 Mcdonogh Rd
Suite 201
Owings Mills
MD 21117-5273
Practice Telephone 4436937246
Practice Fax Number 8662867422
Mailing Telephone 4436937246
Mailing Fax Number 8662867422
Enumeration Date 2009-05-29
Last Update Date 2014-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation MD448094 PA Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
D77551 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD 2143054 00 05

Office Location

Street Address 1576 MERRITT BLVD
SUITE 18
City DUNDALK
State MD
Zip Code 21222-2132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326573981 Derek Wei Jun Xie Physical Therapist 1576 Merritt Blvd, #7, Dundalk, MD 21222-2132 2017-04-20
1265803027 Michelle Marie Gosnell Occupational Therapist 1576 Merritt Blvd, Suite 7, Dundalk, MD 21222-2132 2015-10-19
1235514472 Smart Pain Management, LLC Pain Medicine 1576 Merritt Blvd, Suite 18, Dundalk, MD 21222-2132 2015-07-29
1659766897 Karen Martinchek Physical Therapist 1576 Merritt Blvd, #7, Dundalk, MD 21222-2132 2015-04-04
1831521913 Ms-hc, LLC Non-Pharmacy Dispensing Site 1576 Merritt Blvd, Suite 11b, Dundalk, MD 21222-2132 2013-07-31
1952514739 Vickey Kay Manning Physician Assistant 1576 Merritt Blvd, Suite 18, Dundalk, MD 21222-2132 2007-05-08
1336199918 Medstar Pharmacies, Inc. Pharmacy 1576 Merritt Blvd, Dundalk, MD 21222-2132 2006-05-12
1598751125 Keisha Aisha Robinson Midwife 1576 Merritt Blvd, Dundalk, MD 21222-2132 2005-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922634534 Progressive Multi Medical Services Inc Nurse Practitioner 7704 Trappe Road, Dundalk, MD 21222 2020-03-14
1881240802 Waleed Mazhar Khan Pharmacist 29-31 Sipping Pl, Baltimore, MD 21222 2019-08-15
1043773724 Agnes Kavari Occupational Therapy Assistant 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 2019-04-10
1609335702 Addiction Treatment of Maryland Substance Abuse Rehabilitation Facility 19 Center Place, 1st Floor, Baltimore, MD 21222 2019-03-18
1558833368 Millennium Residential Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1709 Holaview Road, Dundalk, MD 21222 2018-12-19
1639691447 Tenicia S Washington Nurse Practitioner 1709 Holaview Rd, Dundalk, MD 21222 2017-07-13
1548708126 Kevin Anthony Mason Counselor 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 2017-02-03
1023569266 Rachel Renee Barbarino Physician Assistant 1934 Ewald Ave, Baltimore, MD 21222 2016-10-24
1023562576 Bd Health Services, Inc Counselor 3955 North Point Rd., Dundalk, MD 21222 2016-08-12
1205287596 Dundalk Health Services, Inc. Counselor 6706 Holabird Ave, Baltimore, MD 21222 2016-06-28
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285123869 Eastside Medical Care Physical Medicine & Rehabilitation 732b E Main St, Salisbury, MD 21804-5037 2018-05-09
1225588676 Choice Pain & Rebabilitation Center LLC Physical Medicine & Rehabilitation 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 2016-10-10
1497203558 Choice Pain & Rebabilitation Center LLC Physical Medicine & Rehabilitation 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 2016-09-19
1558757914 Choice Pain & Rebabilitation Center LLC Physical Medicine & Rehabilitation 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 2015-04-13
1033505391 Choice Pain & Rebabilitation Center LLC Physical Medicine & Rehabilitation 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 2015-04-13
1477948842 Choice Pain & Rebabilitation Center LLC Physical Medicine & Rehabilitation 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 2015-04-02
1225459936 Pain and Wellness Center of Maryland, LLC Physical Medicine & Rehabilitation 601 Post Office Rd Ste 2a, Waldorf, MD 20602 2013-12-23
1922429935 Health Management and Rehabilitation LLC Physical Medicine & Rehabilitation 13907 Willow Tree Dr, Rockville, MD 20850-5434 2013-12-17
1548681638 Better Life Pain Clinic, Pllc Physical Medicine & Rehabilitation 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 2013-12-17
1871868539 Physical Medicine Associates Ltd Physical Medicine & Rehabilitation 174 Waterfront St, Suite 320, National Harbor, MD 20745 2012-03-14
Find all providers with the same taxonomy

Competitor

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City DUNDALK
Zip Code 21222

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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