Guillermo Alfonso Saade, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E8154 Issued in TX

Practice address

203 Nacogdoches St
Ste 290
Jacksonville, TX 75766-2444

Phone

(903) 586-0591

Fax

(903) 541-5687

NPI assigned

Nov 18, 2005

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

Other identifiers 1

Other names 1

• Etmc First Physicians Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1760464366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NACOGDOCHES ST STE 290",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662444",
            "telephone_number": "903-586-0591",
            "fax_number": "903-541-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NACOGDOCHES ST",
            "address_2": "STE 290",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662444",
            "telephone_number": "903-586-0591",
            "fax_number": "903-541-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADE",
        "first_name": "GUILLERMO",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114243202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETMC",
            "last_name": "FIRST PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Louis C. Roach, MD
• Linda M Rodriguez, RN
• Courtney E Rose, D.O.
• Dylan W Rutherford, D.D.S.
• Stephanie R Ryle, NP
• Sam L. Smith DC,PC
• Bryan Taylor Sanchez
• Adriana Sanders, PA
• Scott J Sands, M.D.
• Scott Thomas Satterfield, MD

• Internal Medicine Physician in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.