Sam Michael Sasser, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD9704 Issued in OR

Practice address

1762 E McAndrews Rd
Ste D
Medford, OR 97504-5577

Phone

(541) 779-4385

Fax

(541) 779-5275

NPI assigned

Jun 17, 2005

Last updated

Nov 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1487659298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 E MCANDREWS RD",
            "address_2": "STE D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045577",
            "telephone_number": "541-779-4385",
            "fax_number": "541-779-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 E MCANDREWS RD",
            "address_2": "STE D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045577",
            "telephone_number": "541-779-4385",
            "fax_number": "541-779-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSER",
        "first_name": "SAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OR",
            "license": "MD9704",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD9704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Issac Santoni, DC
• Jesus Santos
• Steven Sepehr Saraf, MD
• Kaila Sarro
• Madison Sash
• Jordan Victor Saturen, FNP
• Maythe Saturen
• Karen L Sauer, M.D.
• Alison Diana Savage, MD
• James D Savage, D.D.S.

• Psychiatry Physician in Medford, OR
• Providers in Medford, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.