Omer Sanan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

27515 Issued in MN

Practice address

2635 University Ave W
Suite 100B
Saint Paul, MN 55114-1270

Phone

(651) 241-9300

Fax

(651) 241-9285

NPI assigned

Jul 8, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1275566051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 UNIVERSITY AVE W",
            "address_2": "SUITE 100B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141270",
            "telephone_number": "651-241-9300",
            "fax_number": "651-241-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAN",
        "first_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "27515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "820270200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Marie Samuel
• Rachel Frances Samuelson
• Melissa K Samuelsson, MD
• Mikhaila Samz
• Sana Home Health Services
• Susan L Sanches, RDH
• Mucio Sanchez Aragon
• Carolyn Esmeralda Sanchez Hulstrand, MSW, LICSW
• Nicholas Enrique Sanchez, PHARMD
• Otto Alexander Sanchez, PH.D

• Surgery Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.