Individual provider Active NPI

Louis G Sasser, MD

  • Family Medicine Physician
  • Van Buren, AR
National Provider Identifier
1770581845
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5521 Issued in AR
Practice address
209 Pointer TRL W
Van Buren, AR 72956-2238
Phone
(479) 474-3399
Fax
(479) 474-2338
NPI assigned
Jul 12, 2005
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N5521 AR Primary

Addresses

Primary practice location

209 Pointer TRL W
Van Buren, AR 72956-2238

Mailing address

PO Box 402319
Atlanta, GA 30384-2319
Phone (479) 709-7399

Other identifiers 2

IdentifierTypeStateIssuer
105852001MedicaidAR
100032750AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20040924000719 AR Practitioner - Family Practice 9537138730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2111 S Old Missouri Rd
Suite E
Springdale, AR 72764-8748
Phone (479) 571-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N5521ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LG Sasser III MD LLC Family Medicine CurrentSince Aug 2, 2018 Accepting new patients
Absolute Chiropractic Past Accepting new patients
Fort Smith Hma, LLC Past Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients
BB Chiropractic Inc PastSince Nov 3, 2017 Accepting new patients
Sparks Medical Foundation Past Accepting new patients
Sparks Regional Medical Center Past Accepting new patients

Locations

1200 Fort St
Barling, AR 72923
Phone (479) 763-1511

3917 Rogers Ave
Fort Smith, AR 72903
Phone (479) 648-1722

2111 S Old Missouri Rd
Ste E
Springdale, AR 72764
Phone (479) 521-2273

623 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 410-2225

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1770581845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402319",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842319",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562238",
            "telephone_number": "479-474-3399",
            "fax_number": "479-474-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSER",
        "first_name": "LOUIS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "N5521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105852001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100032750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.