STEFANIE N SANDERSON PA-C
NPI 1750385456
Physician Assistant - Surgical in Southlake, TX

NPI Status: Active since June 09, 2005

Contact Information

1545 E SOUTHLAKE BLVD
SUITE 100
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 442-9300
Fax: (817) 796-0763

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About STEFANIE SANDERSON

This page provides the complete NPI Profile along with additional information for Stefanie Sanderson, a provider established in Southlake, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1750385456 assigned on June 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA04819 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1750385456
Provider Name
STEFANIE N SANDERSON PA-C
Gender
Female
Entity Type
Individual
Location Address
1545 E SOUTHLAKE BLVD SUITE 100 SOUTHLAKE, TX 76092
Location Phone
(817) 442-9300
Location Fax
(817) 796-0763
Mailing Address
PO BOX 502 ROANOKE, TX 76262
Mailing Phone
(214) 227-2457
Mailing Fax
(817) 796-0763
Is Sole Proprietor?
No
Enumeration Date
06-09-2005
Last Update Date
09-11-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA04819
License State
TX

Medicare Participation & PECOS Enrollment Status

Stefanie Sanderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750385456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 6 + 8 + 1 + 0 + 4 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1750385456.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Surgery
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Specialist
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Radiology (Diagnostic Radiology)
1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Registered Nurse
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Specialist/Technologist, Other (Electroneurodiagnostic)
1545 E SOUTHLAKE BLVD, STE 100
SOUTHLAKE, TX 76092
Specialist
1545 E SOUTHLAKE BLVD, SUITE 250
SOUTHLAKE, TX 76092
Internal Medicine (Medical Oncology)
1545 E SOUTHLAKE BLVD, SUITE 280
SOUTHLAKE, TX 76092
Surgery
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Technician, Other
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Specialist/Technologist, Other (Electroneurodiagnostic)
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Physical Therapist
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Anesthesiology
1545 E SOUTHLAKE BLVD, SUITE 220
SOUTHLAKE, TX 76092
Neurological Surgery
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Physical Therapy Assistant
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Emergency Medicine
1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Physical Therapist
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Pain Medicine (Interventional Pain Medicine)
1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Surgery
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Surgery
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750385456, enumerated as an "individual" on June 09, 2005.

The provider is located at 1545 E SOUTHLAKE BLVD SUITE 100 SOUTHLAKE, TX 76092 and the phone number is (817) 442-9300.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.