Individual provider Active NPI

Glen Walter Sayler, M.D.

  • Family Medicine Physician
  • Tillamook, OR
National Provider Identifier
1265428304
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD10998 Issued in OR
Practice address
980 3Rd St
Suite 200
Tillamook, OR 97141-9469
Phone
(503) 842-5546
Fax
(503) 842-1444
NPI assigned
Sep 23, 2005
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD10998 OR Primary

Addresses

Primary practice location

980 3Rd St
Suite 200
Tillamook, OR 97141-9469

Mailing address

980 3Rd St
Suite 200
Tillamook, OR 97141-9469
Phone (503) 842-5546

Other identifiers 1

IdentifierTypeStateIssuer
117023MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100608000794 OR Practitioner - Family Practice 0244360857 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10998ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Mar 15, 2010 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Mar 15, 2010 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients

Locations

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

980 3rd St
Ste 200
Tillamook, OR 97141
Phone (503) 812-6668

Organizations & group practices 3

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1265428304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLER",
        "first_name": "GLEN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD10998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117023",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.