Provider Demographics
NPI:1508181520
Name:LOEFFLER, SARA SCHWAB (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:SCHWAB
Last Name:LOEFFLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:193 STONER AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5587
Mailing Address - Country:US
Mailing Address - Phone:410-751-2510
Mailing Address - Fax:410-751-2515
Practice Address - Street 1:193 STONER AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5587
Practice Address - Country:US
Practice Address - Phone:410-751-2510
Practice Address - Fax:410-751-2515
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD76740207RE0101X, 208M00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD330030700Medicaid
MDP01291421Medicare PIN
MDS062-0529OtherCAREFIRST BC/BS
MD318549Y1PMedicare PIN