Eric Todd Sandefur, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D020320 Issued in OR

Practice address

3325 Pocahontas Rd
Suite B
Baker City, OR 97814

Phone

(541) 523-1797

Fax

(541) 523-1799

NPI assigned

Sep 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Elizabeth Health Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Baker City, OR
  • NPI 1417089830
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346333721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "address_2": "SUITE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "address_2": "SUITE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-1797",
            "fax_number": "541-523-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEFUR",
        "first_name": "ERIC",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "D020320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645470",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Alphonsus Medical Center
• Saint Alphonsus Medical Center -Baker City, Inc (SAMG Valley Medical Clinic)
• Saint Alphonsus Medical Center Baker City, Inc
• Saint Alphonsus Medical Center Baker City, Inc (Saint Alphonsus Medical Group Baker City)
• Saint Alphonsus Medical Center Baker City, Inc.
• Sanders Podiatry LLC
• Brian Sanders, DPM
• Tara Michele Schmidt, AU.D.
• Dawn Schott, RPH
• Jonathan D Schott, MD

• Orthopaedic Surgery Physician in Baker City, OR
• Providers in Baker City, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.