Individual provider Active NPI

Donald Gene Sanders, D.O.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1558787143
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5806 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9020
Phone
(918) 599-5922
NPI assigned
Mar 7, 2014
Last updated
Apr 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150915002814 OK Practitioner - Emergency Medicine 1557678109 Reassigns benefits to 1 organization
I20180118001912 AR Practitioner - Emergency Medicine 1557678109 Reassigns benefits to 1 organization

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
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

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

LicenseStateTypeSpecialty
5806OKMDGeneral Practice Dentistry
E-9478ARMDEmergency Medicine Physician
05-38564KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 16, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 16, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.