Organization Active NPI

Paul Sayer M.D. Prof Corp

  • Surgery Physician
  • Homer, AK
National Provider Identifier
1205167483
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PAUL SAYER M.D. PROF CORP
Practice address
4209 Hohe St
Homer, AK 99603-7010
Phone
(907) 235-7659
Fax
(907) 235-6219
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Paul Sayer, M.D.
Title
Owner/President
Phone
(907) 235-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X AK Primary

Addresses

Primary practice location

4209 Hohe St
Homer, AK 99603-7010

Mailing address

PO Box 10
Homer, AK 99603-0010
Phone (907) 235-7659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000002 AK Part B Supplier - Clinic/Group Practice 2163565920 Receives reassigned benefits from 1 practitioner
Practice locations: Homer, AK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1205167483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996030010",
            "telephone_number": "907-235-7659",
            "fax_number": "907-235-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 HOHE ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037010",
            "telephone_number": "907-235-7659",
            "fax_number": "907-235-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SAYER M.D. PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "SAYER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "907-235-7659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.