Sastun Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SASTUN FAMILY MEDICINE, LLC

Practice address

2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2143

Phone

(505) 988-1930

Fax

(505) 982-9931

NPI assigned

Jun 27, 2014

Last updated

Jul 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul R Dodge, PHARM.D.

Title

Owner/Coo

Phone

(505) 469-0516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12362/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sze Kim Pang, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1669597076
  Medicare reassignment NPD
• Rita Josephine Dodge, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1114076650
  Medicare reassignment

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468713600000",
    "number": "1891100814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-988-1930",
            "fax_number": "505-982-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-988-1930",
            "fax_number": "505-982-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASTUN FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2016-07-17",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/COO",
        "authorized_official_telephone_number": "505-469-0516",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Santos
• Christine K Saridakis, PT
• Mark Edward Sarnowski, RPH, CCN
• Chiara Sarter
• Fen Sartorius, M.D.
• Shuchismita Roy Satpathy, M.D, PHD
• James Sauve
• Alison M Sawyer, MD
• Janet Saxe, LMSW
• Schaaf Enterprises Inc. (Merritt Wellness Center)

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.