Active NPI
Steven M Sacks Mdpa
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Beaumont, TX
National Provider Identifier
1225275886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- J0658
- Legal business name
- STEVEN M SACKS MDPA
- Practice address
- 3480 Fannin St
Ste, I
Beaumont, TX 77701-3814 - Phone
- (409) 833-5288
- NPI assigned
- Jan 19, 2009
- Last updated
- Jan 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Micheal Sacks, MD
- Title
- Owner/Physician
- Phone
- (409) 833-5288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | J0658 | TX | Primary |
Addresses
Primary practice location
3480 Fannin St
Ste, I
Beaumont, TX 77701-3814
Mailing address
PO Box 27380
Houston, TX 77227-7380
Phone (409) 833-5288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J0658 | Other | TX | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Steve M Sacks
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- Beaumont, TX
- NPI 1285915132
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Beaumont, TX
- NPI 1720052442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232323200000",
"number": "1225275886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27380",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772277380",
"telephone_number": "409-833-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 FANNIN ST",
"address_2": "STE, I",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013814",
"telephone_number": "409-833-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M SACKS MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-19",
"last_updated": "2009-01-19",
"status": "A",
"authorized_official_last_name": "SACKS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MICHEAL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "409-833-5288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "J0658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "J0658",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.