Active NPI
Robert F. Sacha, D. O.
- Allergy & Immunology Physician
- Cape Girardeau, MO
National Provider Identifier
1972594042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- R4A53
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241247840 | Medicaid | MO |
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
| Organization | Specialty | Status | New 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.
-
- State or Local Public Health Clinic/Center
- Cape Girardeau, MO
- NPI 1477538825
-
- Rural Health Clinic/Center
- Cape Girardeau, MO
- NPI 1831174762
-
- General Practice Physician
- Cape Girardeau, MO
- NPI 1316918949
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.