Active NPI
Melissa Sue Sauder
- Home Health Aide
- Troy, OH
National Provider Identifier
1033705462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 5505104
- Practice address
- 1801 W Main St
Troy, OH 45373-2303 - Phone
- (937) 339-3694
- Fax
- (937) 339-4332
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 5505104 | OH | Primary |
Addresses
Primary practice location
1801 W Main St
Troy, OH 45373-2303
Mailing address
1801 W Main St
Troy, OH 45373-2346
Phone (937) 339-3694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5505104 | Medicaid | OH |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Troy | Other | |
| CONNECT URL | Troy | ||
| CONNECT URL | Troy | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5505104 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1033705462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W MAIN ST",
"city": "TROY",
"state": "OH",
"postal_code": "453732346",
"telephone_number": "937-339-3694",
"fax_number": "937-339-4332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W MAIN ST",
"city": "TROY",
"state": "OH",
"postal_code": "453732303",
"telephone_number": "937-339-3694",
"fax_number": "937-339-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUDER",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2023-11-30",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "5505104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5505104",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Troy",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NAN",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "2733 Troy Sidney Rd",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453739796",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Troy",
"affiliation": "N",
"address_1": "1801 W Main St",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453732303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Troy",
"affiliation": "N",
"endpointDescription": "Medicare",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Medicare post cataract",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1801 W Main St",
"city": "Troy",
"state": "OH",
"country_code": "US",
"postal_code": "453732303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.