Provider Demographics
NPI:1316122690
Name:GANGINIS SCHAEFFER, SARAH ELIZABETH (RD,LDN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:GANGINIS SCHAEFFER
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:GANGINIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:3734 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4650
Mailing Address - Country:US
Mailing Address - Phone:301-213-9472
Mailing Address - Fax:410-480-5191
Practice Address - Street 1:3734 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4650
Practice Address - Country:US
Practice Address - Phone:301-213-9472
Practice Address - Fax:410-480-5191
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2769133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK522Medicare UPIN