SUNNY SAJJAD (NPI# 1255784492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255784492 |
| Entity Type | Individual |
| Full Name | SUNNY SAJJAD |
| Credential | DPM, MS |
| Practice Address |
4905 River Rd N Keizer OR 97303-4539 |
| Practice Telephone | 5033045030 |
| Practice Fax Number | 5033342920 |
| Mailing Telephone | 5033045030 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002646 | MI | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DP195976 | OR | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 343 Main St E, Monmouth, OR 973612334 | 5033045030 | 5033342920 |
| Street Address |
4905 RIVER RD N |
| City | KEIZER |
| State | OR |
| Zip Code | 97303-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991400 | Larry D Jensen Dpm PC | Podiatrist | 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | 2011-11-14 |
| 1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
| 1346347432 | Brian Douglas Ashdown | Podiatrist | 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 | 2006-09-20 |
| 1356452247 | Stephen Fekete | Podiatrist | 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070-6482 | 2006-08-31 |
| 1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
| 1760434674 | David C Greenberg | Podiatrist | 948 Ne 102nd Ave, Suite 103, Portland, OR 97220-4064 | 2006-05-17 |
| 1134102320 | Steven Gary Tillett | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2005-11-22 |
| 1851383269 | Larry Dean Jensen | Podiatrist | 11815 Sw King James Place, Suite 60, Tigard, OR 97224 | 2005-08-22 |
| 1790295228 | Clarke Podiatry, LLC | Podiatrist | 113 S Main St, Milton Freewater, OR 97862-1342 | 2017-10-11 |
| 1518146984 | Patricia Eileen Cain | Podiatrist | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUNNY SAJJAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.