Individual provider Active NPI

Thomas Clayton Sander, PA-C

  • Physician Assistant
  • Okeene, OK
National Provider Identifier
1831791946
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4476 Issued in OK
Practice address
207 E F St
Okeene, OK 73763-9441
Phone
(580) 822-4337
NPI assigned
Nov 12, 2020
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216001352 OK Practitioner - Physician Assistant 4284046285 Reassigns benefits to 5 organizations

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
A-Plus Family Medicine, LLCGroup PAC ID 8022356971, 2 clinicians
Seiling Municipal Hospital AuthorityGroup PAC ID 9830189059, shared by 3 NPIs, 16 clinicians
Cah Acquisition Company 9 LLCGroup PAC ID 0941354823, 15 clinicians

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 100Reported as group
Quality
68.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4476OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Okeene Municipal Hospital and Schallmo Authority CurrentSince Dec 1, 2020 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Jan 1, 2025 Accepting new patients
Seiling Municipal Hospital Authority CurrentSince Sep 1, 2022 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

  • Direct secure messaging: thomas.sander@271544439537668.direct.elationemr.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.