| Dr Sally Elizabeth Sondergaard, MD | |
|
23 Crossroads Dr, Suite 220, Owings Mills, MD 21117-5420 | |
| (410) 581-9200 | |
| (410) 581-9203 |
| Full Name | Dr Sally Elizabeth Sondergaard |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 23 Crossroads Dr, Owings Mills, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275534299 | NPI | - | NPPES |
| 811500100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | D0027136 (Maryland) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally Elizabeth Sondergaard, MD 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117-5420 Ph: (410) 581-9200 | Dr Sally Elizabeth Sondergaard, MD 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117-5420 Ph: (410) 581-9200 |
Dr. Margery Kates, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Dr. Denise Nastassia White- Franklin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr Ste 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Dr. Aimee C. Jacobs, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Dr, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 | |
Dr. Murray Dennis Pearlman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 23 Crossroads Dr, 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-581-9203 | |
Mariana Ximena Martinez Telleria, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 23 Crossroads Drive, Suite 220, Owings Mills, MD 21117 Phone: 410-581-9200 Fax: 410-551-0842 | |
Eli Anthony Timoll, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2217 Shaded Brook Drive, Owings Mills, MD 21117 Phone: 410-363-4341 Fax: 410-363-6569 |