Active NPI
Sana Waikhom, M.D.
- General Practice Physician
- Springfield, OH
National Provider Identifier
1437225331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35037306
- Practice address
- 2501 E High St
Springfield, OH 45505-1410 - Phone
- (937) 328-8700
- Fax
- (937) 328-8719
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35037306 | OH | Primary |
Addresses
Primary practice location
2501 E High St
Springfield, OH 45505-1410
Mailing address
2501 E High St
Springfield, OH 45505-1410
Phone (937) 328-8700
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35037306 | OH | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437225331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 E HIGH ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051410",
"telephone_number": "937-328-8700",
"fax_number": "937-328-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E HIGH ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051410",
"telephone_number": "937-328-8700",
"fax_number": "937-328-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIKHOM",
"first_name": "SANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35037306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.