Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sally Ann Blaine, MD

Individual provider Diagnostic Radiology Physician · NPI 1841637824

Sally Ann Blaine, MD is a Diagnostic Radiology in Harrisburg, Pennsylvania. Graduated from West Virginia University School of Medicine in 2013, 13 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
13
Trained at
West Virginia University School of Medicine
Licensed in
PA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone: (717) 531-4094
Fax: (717) 531-0136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD464188 (PA)

Record details

NPI number1841637824
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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