Active NPI
John A Sauchak, DO
- Orthopaedic Surgery Physician
- East Lansing, MI
National Provider Identifier
1891783593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101010601
- 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
- 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 |
|---|---|---|---|---|
| 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 identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000001149 | Other | MI | PHYSICIANS HEALTH PLAN |
| 4540938 | Other | MI | AETNA |
| 200C31365 | Other | MI | BLUECARE NETWORK |
| 200C31365 | Other | MI | BLUE SHIELD |
| 4838592 | Medicaid | MI |
Other names 1
- John A Sauchak
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010601 | MI | MD | Physical Therapist |
Interoperability endpoints
- jsauchak15675@sparrowdirecthie.org
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "200000001149",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4540938",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE NETWORK",
"identifier": "200C31365",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "200C31365",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4838592",
"state": "MI"
}
],
"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.