Organization Active NPI

Steve M. Sacks

  • Pain Medicine Physician
  • Beaumont, TX
National Provider Identifier
1285915132
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
J0658 Issued in TX
Legal business name
STEVE M. SACKS
Practice address
3480 Fannin St
Ste. I
Beaumont, TX 77701-3814
Phone
(409) 833-5288
Fax
(409) 833-4772
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Steven M Sacks, MDNPI 1720052442
Title
Owner
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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X J0658 TX Primary

Addresses

Primary practice location

3480 Fannin St
Ste. I
Beaumont, TX 77701-3814

Mailing address

3480 Fannin St
Ste. I
Beaumont, TX 77701-3814
Phone (409) 833-5288

National Provider Directory

National Provider Directory
Tax ID family
Steve M Sacks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3480 Fannin St
Ste I
Beaumont, TX 77701
Phone (409) 833-5288

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.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1285915132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 FANNIN ST",
            "address_2": "STE. I",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013814",
            "telephone_number": "409-833-5288",
            "fax_number": "409-833-4772"
        },
        {
            "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",
            "fax_number": "409-833-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE M. SACKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-833-5288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "J0658",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 6, 2011; 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.