Provider Demographics
NPI:1699751339
Name:SANELL, RUTH ANNE (MD)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANNE
Last Name:SANELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S WARNER RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2826
Mailing Address - Country:US
Mailing Address - Phone:610-254-9500
Mailing Address - Fax:610-254-9501
Practice Address - Street 1:150 S WARNER RD
Practice Address - Street 2:SUITE 160
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2826
Practice Address - Country:US
Practice Address - Phone:610-254-9500
Practice Address - Fax:610-254-9501
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054129L207L00000X
NJ25MA06719900207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA815965OtherHIGHMARK BLUE SHIELD
PA9106862OtherCIGNA
NJ1580679OtherAETNA
PA22-1994560OtherPROCURA MANAGEMENT
PA50084646OtherCAPITAL BLUE CROSS
PA22-1994560OtherUNITED HEALTHCARE/OXFORD
PA1499669OtherAETNA
PA22-1994560OtherDEVON
NJ22-1994560OtherHORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PA0845291000OtherKHPE, PERSONAL CHOICE, AMERIHEALTH
PA30043342OtherKEYSTONE MERCY
PA22-1994560OtherFIRST MCO
NJ22-1994560OtherFIRST MCO
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
PA22-1994560OtherGREAT WEST HEALTHCARE
PAP00436149OtherRAILROAD MEDICARE
NJ22-1994560OtherHORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
PA815965Medicare PIN
PA30043342OtherKEYSTONE MERCY
PA815965GDNMedicare PIN
PA22-1994560OtherGREAT WEST HEALTHCARE
PA815965Q1RMedicare PIN