Provider Demographics
NPI:1962573899
Name:SATT, JAMES (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SATT
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 1:1016 ELM AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROCKY FORD
Mailing Address - State:CO
Mailing Address - Zip Code:81067-7288
Mailing Address - Country:US
Mailing Address - Phone:719-254-7381
Mailing Address - Fax:719-254-3030
Practice Address - Street 1:1016 ELM AVENUE
Practice Address - Street 2:
Practice Address - City:ROCKY FORD
Practice Address - State:CO
Practice Address - Zip Code:81067-7288
Practice Address - Country:US
Practice Address - Phone:719-254-7381
Practice Address - Fax:719-254-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23516208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01235167Medicaid
D24286Medicare UPIN
C79961Medicare ID - Type Unspecified