Active NPI
David A Saurman, PA-C
- Medical Physician Assistant
- Driggs, ID
National Provider Identifier
1821031998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 238
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1192477 | Medicaid | WY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238 | WY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Driggs, ID
- NPI 1356556518
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
-
- Critical Access Hospital
- Driggs, ID
- NPI 1477809622
-
- Urgent Care Clinic/Center
- Moran, WY
- NPI 1891997151
-
- Allergy Physician
- Jackson, WY
- NPI 1699817668
-
- Urgent Care Clinic/Center
- Jackson, WY
- NPI 1104032416
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.