Individual provider Active NPI

John A Sauchak, DO

  • Orthopaedic Surgery Physician
  • East Lansing, MI
National Provider Identifier
1891783593
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101010601 Issued in MI
Practice address
830 W Lake Lansing Rd
#190
East Lansing, MI 48823-6371
Phone
(517) 333-3777
Fax
(517) 203-3948
NPI assigned
Oct 7, 2005
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101010601 MI Primary

Addresses

Primary practice location

830 W Lake Lansing Rd
#190
East Lansing, MI 48823-6371

Mailing address

830 W Lake Lansing Rd
#190
East Lansing, MI 48823-6371
Phone (517) 333-3777

Other names 1

  • John A Sauchak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101010601MIMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: jsauchak15675@sparrowdirecthie.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1891783593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD",
            "address_2": "#190",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236371",
            "telephone_number": "517-333-3777",
            "fax_number": "517-203-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD",
            "address_2": "#190",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236371",
            "telephone_number": "517-333-3777",
            "fax_number": "517-203-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCHAK",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101010601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SAUCHAK",
            "middle_name": "A",
            "credential": "DO PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.