Active NPI
Russell Allen Sauder, M.D.
- Anesthesiology Physician
- Orlando, FL
National Provider Identifier
1346203254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.061593
- Practice address
- 13535 Nemours Pkwy
Orlando, FL 32827-7402 - Phone
- (407) 567-4000
- Fax
- (407) 567-5924
- NPI assigned
- Apr 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2005-01332 | NC | |
| Pediatric Anesthesiology Physician | 207LP3000X | ME137991 | FL | |
| Anesthesiology Physician | 207L00000X | 35.061593 | OH | Primary |
Addresses
Primary practice location
13535 Nemours Pkwy
Orlando, FL 32827-7402
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8487
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OH | |
| 101510200 | Medicaid | FL |
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 |
|---|---|---|---|
| 2005-01332 | NC | MD | Anesthesiology Physician |
| ME137991 | FL | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| Southeast Pain & Spine Care Specialists, LLC | Past | Accepting new patients | |
| Southeast Anesthesiology Consultants of Virginia, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CDEHDD
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1629020680
-
- Anesthesiology Physician
- Norfolk, VA
- NPI 1033242235
-
- Interventional Pain Medicine Physician
- Norfolk, VA
- NPI 1558179689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1346203254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277402",
"telephone_number": "407-567-4000",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUDER",
"first_name": "RUSSELL",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2005-01332",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "FL",
"license": "ME137991",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.061593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101510200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.