Individual provider Active NPI

John Charles Sayre, M.D.

  • General Practice Physician
  • Nashville, AR
National Provider Identifier
1316995202
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R4285 Issued in AR
Practice address
900 Leslie St
Suite 1
Nashville, AR 71852-4017
Phone
(870) 845-2201
Fax
(870) 845-5031
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R4285 AR Primary

Addresses

Primary practice location

900 Leslie St
Suite 1
Nashville, AR 71852-4017

Mailing address

900 Leslie St
Suite 1
Nashville, AR 71852-4017
Phone (870) 845-2201

Other identifiers 1

IdentifierTypeStateIssuer
120737001MedicaidAR

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

LicenseStateTypeSpecialty
R4285ARMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1316995202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LESLIE ST",
            "address_2": "SUITE 1",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524017",
            "telephone_number": "870-845-2201",
            "fax_number": "870-845-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LESLIE ST",
            "address_2": "SUITE 1",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524017",
            "telephone_number": "870-845-2201",
            "fax_number": "870-845-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "R4285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120737001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.