Active NPI
Donald E Sallee II, MD
- Diagnostic Radiology Physician
- Saint Joseph, MO
National Provider Identifier
1801861364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R9H32
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506-3488 - Phone
- (816) 271-6000
- Fax
- (843) 497-9566
- NPI assigned
- Feb 20, 2006
- Last updated
- May 10, 2018
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R9H32 | MO | Primary |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506-3488
Mailing address
3906 Oakland Ave
Unit 8252
Saint Joseph, MO 64508-7515
Phone (816) 271-6575
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 837141 | Other | KS | BCBS KS FOR MO LOCATION |
| 200371190A | Medicaid | KS | |
| 202804662 | Medicaid | MO | |
| 36621018 | Other | MO | BCBS OF KANSAS CITY MO |
| P00364463 | Other | MO | RR MEDICARE GROUP CK7871 |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9H32 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Radiology Group LTD | Diagnostic Radiology | Past | Accepting new patients |
| Watson Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
| Metro Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
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.
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- NPI 1760578496
-
- Diagnostic Radiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1801861364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3906 OAKLAND AVE",
"address_2": "UNIT 8252",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645087515",
"telephone_number": "816-271-6575",
"fax_number": "816-271-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-6000",
"fax_number": "843-497-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEE",
"first_name": "DONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R9H32",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS FOR MO LOCATION",
"identifier": "837141",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200371190A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202804662",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY MO",
"identifier": "36621018",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CK7871",
"identifier": "P00364463",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
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- Prasanth Babu Sadaram, MD
- Taylor Sadler, PMHNP-BC
- Mahmoud B Said, MD
- Joy R Salmons, RDH
- Sam's Club Optical (Sam's Club Optical 30-4920)
- Samaritan Counseling Center Inc. (The Center, a Samaritan Counseling Center)
- Sams East Inc (Sams Pharmacy 10-4920)
- Manuel Anthony Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.