Kurtis Lamar Sauder, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101054135 Issued in VA

Practice address

108 Community Dr
Waynesboro, VA 22980-9505

Phone

(540) 949-0118

Fax

(540) 949-8903

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: ksauder@vpg.opdirect.net

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)
• Valley Pediatric Group, PLC

  • Pediatrics Physician
  • Waynesboro, VA
  • NPI 1003865122
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1275526766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-609-2300",
            "fax_number": "540-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COMMUNITY DR",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229809505",
            "telephone_number": "540-949-0118",
            "fax_number": "540-949-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Green Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "VA",
            "postal_code": "244822654",
            "country_code": "US",
            "telephone_number": "540-885-8143",
            "fax_number": "540-885-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUDER",
        "first_name": "KURTIS",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101054135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "437748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "6736696",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "6736696",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6736696",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Rutledge, DDS
• Richard Sallaz, PHARM. D.
• Sapon & Swisher Dental
• Sarah Simmons, LCSW, LLC
• Anna Elizabeth Satterfield, PA
• Alexander Wayne Sauer, PHARMD
• Hallie Sayre
• Heather Higgins Schulz, M.D.
• Emily Hivick Schweickert, PA-C
• Scott M. Seaton, M.D.

• Pediatrics Physician in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.