Individual provider Active NPI

Marc S Saunders, D.O.

  • Surgery Physician
  • Fort Defiance, AZ
National Provider Identifier
1447430426
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS14047 Issued in FL
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8000
NPI assigned
Nov 7, 2007
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34005874 OH
Surgery Physician 208600000X OS14047 FL Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Other identifiers 3

IdentifierTypeStateIssuer
0967333MedicaidOH
9KWYPOtherFLFLORIDA BLUE
019404100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170120001500 FL Practitioner - General Surgery 6608856521 Reassigns benefits to 1 organization
I20240926002342 TX Practitioner - General Surgery 6608856521 Reassigns benefits to 1 organization
I20250107001487 TN Practitioner - General Surgery 6608856521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14047FLMDSurgery Physician
34005874OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia County Alabama Community Hospitals, Inc Current Accepting new patients
Ut Methodist Physicians LLC Surgery CurrentSince Jan 27, 2025 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Oct 1, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Escambia County Alabama Community Hospitals Inc Surgery CurrentSince Jan 1, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Escambia County Alabama Community Hospitals, Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Dec 28, 2020 Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Dec 28, 2020 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

402 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6362

406 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6245

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

1270 SW Main Blvd
Lake City, FL 32025
Phone (386) 752-7900

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

7655 Poplar Ave
Bldg A
Germantown, TN 38138
Phone (901) 758-7970

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1447430426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MARC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34005874",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS14047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0967333",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "9KWYP",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019404100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.