Provider Demographics
NPI:1205839875
Name:SAXER, JOHN J III (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:SAXER
Suffix:III
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 1:5429 W 139TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3544
Mailing Address - Country:US
Mailing Address - Phone:913-530-8233
Mailing Address - Fax:913-933-0090
Practice Address - Street 1:5429 W 139TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66224-3544
Practice Address - Country:US
Practice Address - Phone:913-530-8233
Practice Address - Fax:913-933-0090
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS22077207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC50625Medicare UPIN
MOK67000036Medicare PIN
KSK67A00014Medicare PIN
KSH437131Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #