MEDICARE: JOHN S SAUR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Y00000X	Otolaryngology Physician	DR.0067043	CO

General Provider Information

NPI Number	:	1013253665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN S SAUR M.D.

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR # B7500
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-524-3699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR # B7500
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-524-6399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2012
Last Update Date	:	06/16/2026

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