Active NPI
Jeffrey Sanderson, MD
- Physical Medicine & Rehabilitation Physician
- Cuyahoga Falls, OH
National Provider Identifier
1558354977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35076954S
- Practice address
- 405 Tallmadge Rd
Ste. 120
Cuyahoga Falls, OH 44221-3362 - Phone
- (330) 784-9306
- Fax
- (330) 475-7544
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35076954S | OH | Primary |
Addresses
Primary practice location
405 Tallmadge Rd
Ste. 120
Cuyahoga Falls, OH 44221-3362
Mailing address
405 Tallmadge Rd
Ste. 120
Cuyahoga Falls, OH 44221-3362
Phone (330) 784-9306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4072873 | Other | OH | MEDICARE ID |
| 4072871 | Other | OH | MEDICARE ID |
| 2333817 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Ohio State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29 N Adams St
Akron, OH 44304-1641
Phone (330) 572-7293
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35076954S | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neo Rehab Specialists Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Summa Rehab Hospital LLC | Past | Accepting new patients |
Locations
29 N Adams St
Akron, OH 44304
Phone (330) 572-7293
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Akron, OH
- NPI 1942735931
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
dba Summa Health System Ignatia Hall South
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
-
dba Summa Rehab Hospital
- Rehabilitation Hospital
- Akron, OH
- NPI 1538449830
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1558354977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 TALLMADGE RD",
"address_2": "STE. 120",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213362",
"telephone_number": "330-784-9306",
"fax_number": "330-475-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 TALLMADGE RD",
"address_2": "STE. 120",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213362",
"telephone_number": "330-784-9306",
"fax_number": "330-475-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35076954S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "4072873",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "4072871",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2333817",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.