Individual provider Active NPI

David Alan Sanders

  • Emergency Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1427582519
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO213921 Issued in OR
Practice address
500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone
(803) 434-4663
Fax
(803) 434-3894
NPI assigned
Apr 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 82148 SC
Emergency Medicine Physician 207P00000X DO213921 OR Primary

Addresses

Primary practice location

500 SW Ramsey Ave
Grants Pass, OR 97527-5554

Mailing address

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7000

Other identifiers 1

IdentifierTypeStateIssuer
821481MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210909000353 SC Practitioner - Emergency Medicine 5092047902 Reassigns benefits to 1 organization
I20230531001291 OR Practitioner - Emergency Medicine 5092047902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AsanteGroup PAC ID 0547177321, 141 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
82148SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Ashland Community Hospital, LLC CurrentSince Jun 9, 2025 Accepting new patients
McLeod Health Cheraw Family Medicine CurrentSince Aug 19, 2021 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince May 1, 2023 Accepting new patients
Asante CurrentSince Apr 1, 2024 Accepting new patients
McLeod Health Cheraw Emergency Medicine CurrentSince Aug 19, 2021 Accepting new patients
Asante CurrentSince Apr 1, 2024 Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

Interoperability endpoints

  • Direct secure messaging: dsanders25389@directmcleodehealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1427582519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275554",
            "telephone_number": "541-472-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275554",
            "telephone_number": "803-434-4663",
            "fax_number": "803-434-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "82148",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO213921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821481",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.