Healthcare Provider Details

I. General information

NPI: 1497764112
Provider Name (Legal Business Name): TODD MICHAEL SAUER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 DODGE ST.
OMAHA NE
68114
US

IV. Provider business mailing address

8303 DODGE ST.
OMAHA NE
68114
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-6530
  • Fax: 402-354-3160
Mailing address:
  • Phone: 402-354-1200
  • Fax: 402-354-1205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number21491
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: