Active NPI
Donald Gene Sanders, D.O.
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5806
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9020 - Phone
- (918) 599-5922
- NPI assigned
- Mar 7, 2014
- Last updated
- Apr 29, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 05-38564 | KS | |
| Emergency Medicine Physician | 207P00000X | 5806 | OK | Primary |
| Emergency Medicine Physician | 207P00000X | E-9478 | AR |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9020
Mailing address
304 E Uniontown St
Broken Arrow, OK 74012-8776
Phone (918) 839-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Wall St
Poteau, OK 74953-4433
Phone (918) 647-8161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5806 | OK | MD | General Practice Dentistry |
| E-9478 | AR | MD | Emergency Medicine Physician |
| 05-38564 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Leflore County Hospital Authority | Past | Accepting new patients |
Locations
2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
105 Wall St
Poteau, OK 74953
Phone (918) 635-3100
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
dba Eastern Oklahoma Medical Center
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mountain Gateway Senior Health
- Psychiatric Hospital Unit
- Poteau, OK
- NPI 1184997447
-
dba Eastern Oklahoma Medical Center
- Critical Access Hospital
- Poteau, OK
- NPI 1396767158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493424000000",
"number": "1558787143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E UNIONTOWN ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740128776",
"telephone_number": "918-839-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W 9TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741279020",
"telephone_number": "918-599-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "DONALD",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-07",
"last_updated": "2017-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "05-38564",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "5806",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-9478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.