Ms. Mary K Sandquist

M.D. | Pediatric Critical Care Medicine | Female

---

Complete Profile:

Ms. Mary K Sandquist basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Ms. Mary K Sandquist
Credential :	M.D.
Gender :	Female

Business Address:

Ms. Mary K Sandquist address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 E Chestnut St Louisville, KY, 40202-1831 United States
Phone Number :	502-629-6000
Fax Number :	502-629-5865

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1598082851
NPI Entity Type :	Individual
First Enrolment Date :	27 Apr, 2010
Last Updated On :	27 Oct, 2020

Medicare Participation:

Ms. Mary K Sandquist participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1052632221
Medicare Enrollment ID :	I20160621002217
Primary Specialty :	Pediatric Medicine
Medical School :	Ohio State University College Of Medicine
Graduation Year :	2010
Accepts Medicare?	Yes. Ms. Mary K Sandquist accepts medicare insurance.

Group Practice Association:

Ms. Mary K Sandquist is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ms. Mary K Sandquist is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Norton Childrens Medical Group Llc	3779917596	109	200 E Chestnut St Louisville, KY - 402021800 Ph: 5025880390	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary K Sandquist are as mentioned. Primary taxonomy code for Ms. Mary K Sandquist, M.D. is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	49375	KY
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	49375	KY

Legacy Identifiers:

Other legacy medical identifiers of Ms. Mary K Sandquist such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
300011404	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 776879 Chicago, IL, 60677-6879 United States
Phone Number :	502-588-9490

Business Location:

Patients can refer following map for directions to Ms. Mary K Sandquist practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.