Active NPI
Sara A Buse, FNP
- Family Medicine Physician
- Sandy, OR
National Provider Identifier
1740287945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200050045NP
- Practice address
- 36860 Industrial Way
Sandy, OR 97055-7371 - Phone
- (503) 826-0206
- Fax
- (503) 826-0216
- NPI assigned
- Jul 1, 2005
- Last updated
- Dec 17, 2013
- Sex
- Female
- 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 | 200050045NP | OR | Primary |
Addresses
Primary practice location
36860 Industrial Way
Sandy, OR 97055-7371
Mailing address
36860 Industrial Way
Sandy, OR 97055-7371
Phone (503) 826-0206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000227 | Medicaid | OR |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1740287945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36860 INDUSTRIAL WAY",
"city": "SANDY",
"state": "OR",
"postal_code": "970557371",
"telephone_number": "503-826-0206",
"fax_number": "503-826-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36860 INDUSTRIAL WAY",
"city": "SANDY",
"state": "OR",
"postal_code": "970557371",
"telephone_number": "503-826-0206",
"fax_number": "503-826-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSE",
"first_name": "SARA",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "200050045NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000227",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.