Active NPI
Jason R Sanders, MD, MBA
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1386804805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29729
- Practice address
- 825 NE 10TH St
Oupb #4300
Oklahoma City, OK 73104-5417 - Phone
- (405) 271-3445
- NPI assigned
- Jun 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29729 | OK | Primary |
Addresses
Primary practice location
825 NE 10TH St
Oupb #4300
Oklahoma City, OK 73104-5417
Mailing address
825 NE 10TH St
Oupb #4300
Oklahoma City, OK 73104-5417
Phone (405) 271-3445
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
- Master of Business Administration, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1386804805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NE 10TH ST",
"address_2": "OUPB #4300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045417",
"telephone_number": "405-271-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NE 10TH ST",
"address_2": "OUPB #4300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045417",
"telephone_number": "405-271-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JASON",
"middle_name": "R",
"credential": "MD, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "29729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.