Individual provider Active NPI

Adam Carl Satteson, M.D.

  • Otolaryngology Physician
  • Gainesville, FL
National Provider Identifier
1184981383
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A155146 Issued in CA
Practice address
1601 SW Archer Rd
Gainesville, FL 32608
Phone
(352) 376-1611
NPI assigned
Apr 12, 2012
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 2017-00389 NC
Otolaryngology Physician 207Y00000X A155146 CA Primary

Addresses

Primary practice location

1601 SW Archer Rd
Gainesville, FL 32608

Mailing address

6405 SW 37TH Way
Gainesville, FL 32608-5157
Phone (570) 854-2019

Other practice location 1

1601 Brenner Ave
Salisbury, NC 28144-2515
Phone (704) 638-9000 ext. 13289

Other practice location 2

1212 Huntingdon Rd
Winston Salem, NC 27104-1717
Phone (570) 854-2019

Other practice location 3

175 N Jackson Ave Ste 200
San Jose, CA 95116
Phone (926) 408-5300

Other practice location 4

175 N Jackson Ave Ste 200
San Jose, CA 95116
Phone (926) 408-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170912001645 NC Practitioner - Otolaryngology 5395052872 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155146CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc. Single Specialty CurrentSince Jun 19, 2017 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jun 19, 2017 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3940 Arrowhead Blvd
Ste 110
Mebane, NC 27302
Phone (919) 568-7300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1184981383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 SW 37TH WAY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085157",
            "telephone_number": "570-854-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Brenner Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442515",
            "country_code": "US",
            "telephone_number": "704-638-9000 x13289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Huntingdon Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271041717",
            "country_code": "US",
            "telephone_number": "570-854-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N Jackson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95116",
            "country_code": "US",
            "telephone_number": "926-408-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 N Jackson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95116",
            "country_code": "US",
            "telephone_number": "926-408-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTESON",
        "first_name": "ADAM",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2017-00389",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A155146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.