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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 2143054 00 | 05 |
| Street Address |
1576 MERRITT BLVD SUITE 18 |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222-2132 |
| 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 |
| 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 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| 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. |
| 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 | ||||
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| 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.