Active NPI
Jerry Don Sadler, M.D.
- Family Medicine Physician
- Springdale, AR
National Provider Identifier
1316927403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-6135
- Practice address
- 3409 Elm Springs Rd
Springdale, AR 72762-2754 - Phone
- (479) 927-2100
- Fax
- (479) 927-2211
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-6135 | AR | Primary |
| Family Medicine Physician | 207Q00000X | MD.024617 | LA |
Addresses
Primary practice location
3409 Elm Springs Rd
Springdale, AR 72762-2754
Mailing address
3409 Elm Springs Rd
Springdale, AR 72762-2754
Phone (479) 927-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5H506 | Other | AR | AR BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6135 | AR | MD | Family Medicine Physician |
| MD.024617 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1316927403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 ELM SPRINGS RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727622754",
"telephone_number": "479-927-2100",
"fax_number": "479-927-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 ELM SPRINGS RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727622754",
"telephone_number": "479-927-2100",
"fax_number": "479-927-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADLER",
"first_name": "JERRY",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-6135",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.024617",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BC/BS",
"identifier": "5H506",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.