Active NPI
Thomas Clayton Sander, PA-C
- Physician Assistant
- Okeene, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4476
- Practice address
- 207 E F St
Okeene, OK 73763-9441 - Phone
- (580) 822-4337
- NPI assigned
- Nov 12, 2020
- Last updated
- Jan 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4476 | OK | Primary |
Addresses
Primary practice location
207 E F St
Okeene, OK 73763-9441
Mailing address
PO Box 489
Okeene, OK 73763-0489
Phone (580) 822-4417
Other practice location 1
124 N 6th St
Okeene, OK 73763-9135
Phone (580) 822-4404
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsander334064@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | tsander334064@direct-ehr-ssmhc.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seiling Municipal Hospital AuthorityCah Acquisition Company 9 LLC
Practice addresses (Care Compare)
3201 N Van Buren St
Suite 400
Enid, OK 73703-1800
Phone (580) 237-1877
809 NE Hwy 60
Seiling, OK 73663
PO Box
Suite 1043
Seiling, OK 73663
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.74 of 100
- Quality
- 68.62
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4476 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okeene Municipal Hospital and Schallmo Authority | Current | Accepting new patients | |
| Seiling Municipal Hospital Authority | Current | Accepting new patients | |
| Seiling Municipal Hospital Authority | Current | Accepting new patients | |
| Cah Acquisition Company 9, LLC | Past | Accepting new patients |
Locations
124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404
207 E F St
Okeene, OK 73763
Phone (580) 822-4321
809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005
Interoperability endpoints
- thomas.sander@271544439537668.direct.elationemr.com
- tsander334064@direct-ehr-ssmhc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physician Assistant
- Enid, OK
- NPI 1720550601
-
dba Okeene Municipal Hospital
- Critical Access Hospital
- Okeene, OK
- NPI 1336142033
-
- Critical Access Hospital
- Seiling, OK
- NPI 1740698109
-
dba SMH Specialty Clinic
- Multi-Specialty Clinic/Center
- Seiling, OK
- NPI 1942757554
-
dba Okeene Hospital Medical Clinic
- Primary Care Clinic/Center
- Okeene, OK
- NPI 1053478024
-
dba Seiling Community Hospital
- Critical Access Hospital
- Seiling, OK
- NPI 1598993453
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Okeene Municipal Hospital
- Critical Access Hospital
- Okeene, OK
- NPI 1336142033
-
- Critical Access Hospital
- Seiling, OK
- NPI 1740698109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1831791946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "OKEENE",
"state": "OK",
"postal_code": "737630489",
"telephone_number": "580-822-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E F ST",
"city": "OKEENE",
"state": "OK",
"postal_code": "737639441",
"telephone_number": "580-822-4337"
}
],
"practiceLocations": [
{
"address_1": "124 N 6th St",
"address_purpose": "LOCATION",
"city": "Okeene",
"state": "OK",
"postal_code": "737639135",
"country_code": "US",
"telephone_number": "580-822-4404",
"fax_number": "580-822-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDER",
"first_name": "THOMAS",
"middle_name": "CLAYTON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "4476",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsander334064@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tsander334064@direct-ehr-ssmhc.com",
"address_1": "207 E F St",
"city": "Okeene",
"state": "OK",
"country_code": "US",
"postal_code": "737639441",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "tsander334064@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "207 E F St",
"city": "Okeene",
"state": "OK",
"country_code": "US",
"postal_code": "737639441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Okeene, OK
- Okeene Municipal Hospital and Schallmo Authority (Okeene Municipal Hospital)
- Okeene Municipal Hospital and Schallmo Authority (Okeene Municipal Hospital)
- Okeene Municpal Hospital and Schallmo Authority (Okeene RHC)
- Okeene Public Schools
- Kenneth D Parrott, M.D.
- Patricia Jayne Schwartz
- George Scott Stenger, D.O
- Summers Health Services, LLC
- Summit Healthcare LLC
- Summit Healthcare Receivership LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.