Individual provider Active NPI

Jonathan Allen Sanders, M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1063691574
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
201513 Issued in LA
Practice address
533 Bolivar St
RM 508
New Orleans, LA 70112-1349
Phone
(504) 568-4750
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 201513 LA Primary

Addresses

Primary practice location

533 Bolivar St
RM 508
New Orleans, LA 70112-1349

Mailing address

533 Bolivar St
RM 508
New Orleans, LA 70112-1349
Phone (504) 568-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002322 TX Practitioner - Emergency Medicine 9436223278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1063691574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BOLIVAR ST",
            "address_2": "RM 508",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121349",
            "telephone_number": "504-568-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BOLIVAR ST",
            "address_2": "RM 508",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121349",
            "telephone_number": "504-568-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JONATHAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "201513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.