Scott D. Sadler, P.A.-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2050 Issued in AZ

Practice address

463 S Lake Powell Blvd
Page, AZ 86040-0790

Phone

(928) 645-0945

Fax

(928) 645-3254

NPI assigned

Mar 8, 2006

Last updated

May 27, 2011By 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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Page HospitalGroup PAC ID 5496665861, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Page Hospital Hospital, Page, AZ, CCN 031304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Medicare reassignment Care Compare group NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891
  Medicare reassignment
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902
  Medicare reassignment
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Page, AZ
  • NPI 1316294242
  NPD
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066
  NPD
• Page Hospital

  • Rural Health Clinic/Center
  • Page, AZ
  • NPI 1902317829
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1386612265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 790",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-0945",
            "fax_number": "928-645-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S LAKE POWELL BLVD",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400790",
            "telephone_number": "928-645-0945",
            "fax_number": "928-645-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427361",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rapoza
• Red Rock Healthcare, Inc. (Lake Powell Physical Therapy)
• Kae Rehma
• Ryan James Robinson, DMD
• Rodrigo Moura Rodrigues-Brito, PHARMD
• Safeway Inc (Safeway Pharmacy #0249)
• Boyeon Satterlee, PHARM.D.
• Stephanie Schwenn, FNP
• Sita Shablack, PHARM.D
• Cameron Sidney Shick, PHARMD

• Surgical Physician Assistant in Page, AZ
• Providers in Page, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.