Active NPI
Joe W Sayre, MD
- Surgery Physician
- Defiance, OH
National Provider Identifier
1396742078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35050180S
- Practice address
- 1250 Ralston Ave
Suite 203
Defiance, OH 43512-5311 - Phone
- (419) 783-6997
- Fax
- (419) 782-6873
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35050180S | OH | Primary |
Addresses
Primary practice location
1250 Ralston Ave
Suite 203
Defiance, OH 43512-5311
Mailing address
1250 Ralston Ave
Suite 203
Defiance, OH 43512-5311
Phone (419) 783-6997
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0635905 | Medicaid | OH | |
| 00331 | Other | PARAMOUNT | |
| 000000576671 | Other | ANTHEM | |
| 04062385 | Other | AETNA | |
| P00667926 | Other | OH | RRMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35050180S | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1396742078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 RALSTON AVE",
"address_2": "SUITE 203",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435125311",
"telephone_number": "419-783-6997",
"fax_number": "419-782-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 RALSTON AVE",
"address_2": "SUITE 203",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435125311",
"telephone_number": "419-783-6997",
"fax_number": "419-782-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "JOE",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35050180S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0635905",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000576671",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "04062385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00667926",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.