Active NPI
Herman Marx Sacks, D.O.
- Family Medicine Physician
- D'Iberville, MS
National Provider Identifier
1730159369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-422
- Practice address
- 3661 Sangani Blvd Ste E
Diberville, MS 39540-8707 - Phone
- (228) 354-0022
- Fax
- (228) 354-0088
- NPI assigned
- Jan 25, 2006
- Last updated
- Jul 11, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-422 | AL | Primary |
Addresses
Primary practice location
3661 Sangani Blvd Ste E
Diberville, MS 39540-8707
Mailing address
15571 Stewart Rd
Biloxi, MS 39532-6078
Phone (228) 209-0928
Other practice location 1
509 Liberty Rd Ste C
Flowood, MS 39232-8047
Phone (601) 665-2396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-422 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxem Health Urgent Care Mobile | Current | Accepting new patients | |
| Purpose & Power Healthcare Services, LLC | Past | Accepting new patients | |
| South Mississippi Urgent Care | Past | Accepting new patients |
Locations
535 Schillinger Rd S
#A
Mobile, AL 36695
Phone (251) 544-6611
Interoperability endpoints
- herman.sacks.1@3362.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Mobile, AL
- NPI 1225706773
-
- Nurse Practitioner
- Flowood, MS
- NPI 1649025974
-
- Urgent Care Clinic/Center
- D'Lberville, MS
- NPI 1750308250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1730159369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15571 STEWART RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395326078",
"telephone_number": "228-209-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 SANGANI BLVD STE E",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395408707",
"telephone_number": "228-354-0022",
"fax_number": "228-354-0088"
}
],
"practiceLocations": [
{
"address_1": "509 Liberty Rd Ste C",
"address_purpose": "LOCATION",
"city": "Flowood",
"state": "MS",
"postal_code": "392328047",
"country_code": "US",
"telephone_number": "601-665-2396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SACKS",
"first_name": "HERMAN",
"middle_name": "MARX",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO-422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in D'Iberville, MS
- Saad Enterprises, Inc. (Saad Medical Equipment - D'Iberville)
- Saad Enterprises, Inc. (Saad Medical Clinic)
- Saad Medical Equipment, Inc.
- Saad Medical Management, Inc (Saad Home Nursing Services of MS)
- Saad Medical Management, Inc. (Saad Hospice Services of MS)
- Katherine Lynne Sanders, O.D.
- Shayna Sanders
- Kelly Rae Santine Landry, MPT
- Farrah Schonewitz
- Scripts, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.