Provider Demographics
NPI:1699866269
Name:SAUTER, TIMOTHY THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:THOMAS
Last Name:SAUTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:866 SEVEN HILLS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4376
Mailing Address - Country:US
Mailing Address - Phone:702-914-6900
Mailing Address - Fax:702-914-6904
Practice Address - Street 1:866 SEVEN HILLS DR STE 203
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4376
Practice Address - Country:US
Practice Address - Phone:702-914-6900
Practice Address - Fax:702-914-6904
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8592207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018011Medicaid