Individual provider Active NPI

Gregory Lee Saue, MD

  • General Practice Physician
  • Medical Lake, WA
National Provider Identifier
1972535763
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD00016399 Issued in WA
Practice address
Maple Street
Medical Lake, WA 99022-0800
Phone
(509) 299-4529
Fax
(509) 299-4649
NPI assigned
Jul 6, 2006
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 16399 WA
General Practice Physician 208D00000X MD00016399 WA Primary

Addresses

Primary practice location

Maple Street
Medical Lake, WA 99022-0800

Mailing address

14114 Shoreview Drive
Medical Lake, WA 99022-9345
Phone (509) 299-7771

Other identifiers 1

IdentifierTypeStateIssuer
1091289MedicaidWA

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 Medicine

State licenses

LicenseStateTypeSpecialty
16399WAMDRheumatology Physician
MD00016399WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Social Dept of SHS Div of Instns PastSince Jul 1, 2013 Accepting new patients
Spokane Orthopedics PLLC PastSince Mar 28, 2005 Accepting new patients
N.a.T.I.V.E. Project Past Accepting new patients

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1972535763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 SHOREVIEW DRIVE",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229345",
            "telephone_number": "509-299-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAPLE STREET",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990220800",
            "telephone_number": "509-299-4529",
            "fax_number": "509-299-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUE",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "16399",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00016399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091289",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.