Active NPI
Lewis Sayre, M.D.
- Emergency Medicine Physician
- Salem, OR
National Provider Identifier
1679686281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD10711
- Practice address
- 665 Winter St SE
Salem, OR 97301-3919 - Phone
- (503) 561-5634
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD10711 | OR | Primary |
Addresses
Primary practice location
665 Winter St SE
Salem, OR 97301-3919
Mailing address
PO Box 2505
Salem, OR 97308-2505
Phone (888) 828-3198
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302093 | Medicaid | WA | |
| C91109 | Other | PROVIDENCE | |
| C91109 | Other | GROUP HEALTH | |
| 115907 | Medicaid | OR | |
| A016 | Other | CHAMPUS | |
| 115907 | Other | MARION POLK CHP | |
| XYP049900 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1679686281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2505",
"city": "SALEM",
"state": "OR",
"postal_code": "973082505",
"telephone_number": "888-828-3198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WINTER ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013919",
"telephone_number": "503-561-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYRE",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD10711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302093",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE",
"identifier": "C91109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "C91109",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115907",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARION POLK CHP",
"identifier": "115907",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XYP049900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.