Matthew J. Sacks, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00041107 Issued in WA

Legal business name

MATTHEW J. SACKS, M.D., P.C.

Practice address

401 W Poplar St
Walla Walla, WA 99362-2846

Phone

(509) 522-5700

Fax

(509) 522-5705

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Sacks, M.D.NPI 1528014420

Title

President

Phone

(509) 525-2220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew J Sacks, MD

  • Specialist
  • Walla Walla, WA
  • NPI 1528014420
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346361573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620013",
            "telephone_number": "509-525-2220",
            "fax_number": "509-525-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W POPLAR ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622846",
            "telephone_number": "509-522-5700",
            "fax_number": "509-522-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. SACKS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-525-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00041107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenna E Marx, PHARMD
• Roberto Masferrer, L.AC, M.AC.O.M.
• Anne Michele Mason, ARNP
• Cassandra Mason, RDN
• James C Mason, M.D.
• Jenny Mattmiller, LMT
• Maxim Healthcare Services, Inc.
• Jennifer Maxon, RN
• S Steven Maxood, MD
• David Timothy Maxwell, MD

• Specialist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.