Charles Jake Sadle, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Office of Medical Education C/O Brittney Luckett
571 S. Floyd St., Ste. 412
Louisville, KY 40202

Phone

(503) 803-3110

NPI assigned

Mar 27, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 Osteopathy

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1700347341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE OF MEDICAL EDUCATION C/O BRITTNEY LUCKETT",
            "address_2": "571 S. FLOYD ST., STE. 412",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-629-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE OF MEDICAL EDUCATION C/O BRITTNEY LUCKETT",
            "address_2": "571 S. FLOYD ST., STE. 412",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "503-803-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLE",
        "first_name": "CHARLES",
        "middle_name": "JAKE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Danielle Saccone, APRN
• Sofia Sachtjen, BCBA
• Katlyn Mulhall Sackett, PHARMD
• Sadet Abitova LLC
• Jasmine Sadikovic
• Donna F Sadler, M.D.
• Riley Michael Sadler, DC
• Samantha Jo Sadler, LCSW
• Henry Bernard Sadlo Jr., M.D.
• Julia Sadlo, PA-C

• Student in an Organized Health Care Education/Training Program in Louisville, KY
• Providers in Louisville, KY by specialty
• Student in an Organized Health Care Education/Training Program in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.