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NPI Code Detail

MEDICARE: JOSEPH SANTO SACAMANO M.D.

MEDICARE: JOSEPH SANTO SACAMANO 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
1207X00000XOrthopaedic Surgery PhysicianMD07748OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD07748OTHEROROREGON MEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MD00011911OTHERWAWASHINGTON MEDICAL LICENS

General Provider Information

NPI Number : 1548471410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH SANTO SACAMANO M.D.
Provider Business Mailing Address
First Line : 1715 E 12TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3136
Country : US
Telephone Number : 541-296-2294
Fax Number :
Provider Business Practice Location Address
First Line : 1715 E 12TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3136
Country : US
Telephone Number : 541-296-2294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/08/2007

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