Individual provider Active NPI

David A Saurman, PA-C

  • Medical Physician Assistant
  • Driggs, ID
National Provider Identifier
1821031998
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
238 Issued in WY
Practice address
120 East Howard Avenue
Teton Valley Health Care
Driggs, ID 83422-5112
Phone
(208) 354-6302
Fax
(208) 354-3158
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 238 WY Primary

Addresses

Primary practice location

120 East Howard Avenue
Teton Valley Health Care
Driggs, ID 83422-5112

Mailing address

120 East Howard Avenue
Teton Valley Health Care
Driggs, ID 83422-5112
Phone (208) 354-6302

Other identifiers 1

IdentifierTypeStateIssuer
1192477MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
238WYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Jackson Hole, LLC Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients
Brent Blue MD Past Accepting new patients
Jackson Hole Medical Clinic, LLC Past Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
Grand Teton Medical Clinic Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1821031998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "address_2": "TETON VALLEY HEALTH CARE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-6302",
            "fax_number": "208-354-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST HOWARD AVENUE",
            "address_2": "TETON VALLEY HEALTH CARE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225112",
            "telephone_number": "208-354-6302",
            "fax_number": "208-354-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAURMAN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192477",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

Verify at the official NPI Registry.