Healthcare Provider Details

I. General information

NPI: 1538360276
Provider Name (Legal Business Name): SADIE OCHS GIEDD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SADIE OCHS HOLLAND

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 E SEMINOLE ST SUITE 320
SPRINGFIELD MO
65804-2227
US

IV. Provider business mailing address

PO BOX 776084 PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 417-820-2064
  • Fax: 417-820-8716
Mailing address:
  • Phone: 417-829-4620
  • Fax: 417-829-4316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number2006031056
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number2006031056
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2006031056
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: