Provider Demographics
NPI:1578545752
Name:SASSLER, ALFRED M (DO)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:M
Last Name:SASSLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7690 DISCOVERY DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6542
Mailing Address - Country:US
Mailing Address - Phone:513-475-8400
Mailing Address - Fax:513-475-8228
Practice Address - Street 1:7690 DISCOVERY DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6542
Practice Address - Country:US
Practice Address - Phone:513-475-8400
Practice Address - Fax:513-475-8228
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02420207Y00000X
OH34006187207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY02420OtherAETNA
KY64024201Medicaid
KY000000050862OtherANTHEM BCBS
OH0986107Medicaid
WV3810011191Medicaid
KY6112740750000OtherBLUEGRASS FAMILY HEALTH
KY02420OtherAETNA
OH0986107Medicaid
KY0610901Medicare ID - Type Unspecified
OH0986107Medicaid