David A Sarnow, M.D., MPH

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

043122 Issued in GA

Practice address

208 W Casablanca Ave
27 Somdg/Flight Medicine, BLDG 1400
Cannon Afb, NM 88103-5014

Phone

(575) 784-7801

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Medical Group, P.C.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1235296054
  Medicare reassignment NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1609914431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DIAMONDHEAD DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013023",
            "telephone_number": "512-791-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA AVE",
            "address_2": "27 SOMDG/FLIGHT MEDICINE, BLDG 1400",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "575-784-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOW",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "043122",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "43122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Rivera, PHYSICIAN ASSISTANT
• Emma Robertson, DO
• Matthew R Rook
• Joketha Faith Ross, RN-BSN
• Danielle Markeeta Sales, DNP, APRN, WHNP-BC
• Ray Leroy Schatz III, IDMT
• Kelly Amanda Schneider, DDS
• Richard James Serkowski, DO, MPH, CPE
• June Ellen Shepherd, PH.D.
• Luke Smith, DMD

• Aerospace Medicine Physician in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Aerospace Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.