Individual provider Active NPI

Robert F. Sacha, D. O.

  • Allergy & Immunology Physician
  • Cape Girardeau, MO
National Provider Identifier
1972594042
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
R4A53 Issued in MO
Practice address
1121 Linden
Cape Girardeau County Public Health Center
Cape Girardeau, MO 63703
Phone
(573) 335-7846
Fax
(573) 335-5909
NPI assigned
Oct 28, 2005
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X R4A53 MO Primary

Addresses

Primary practice location

1121 Linden
Cape Girardeau County Public Health Center
Cape Girardeau, MO 63703

Mailing address

P.O. Box 1839
Cape Girardeau County Public Health Center
Cape Girardeau, MO 63702
Phone (573) 335-7846

Other identifiers 1

IdentifierTypeStateIssuer
241247840MedicaidMO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Physicians, LC Past Accepting new patients
Cape Girardeau County Health Department Past Accepting new patients
Cape Girardeau County Health Department 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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1972594042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1839",
            "address_2": "CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63702",
            "telephone_number": "573-335-7846",
            "fax_number": "573-335-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 LINDEN",
            "address_2": "CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-335-7846",
            "fax_number": "573-335-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHA",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "R4A53",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241247840",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.