Provider Demographics
NPI:1699176347
Name:SAUTER, JAMES OMEARA JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:OMEARA
Last Name:SAUTER
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 FOREST AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-2926
Mailing Address - Country:US
Mailing Address - Phone:412-716-7749
Mailing Address - Fax:
Practice Address - Street 1:678 FOREST AVE APT 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-2926
Practice Address - Country:US
Practice Address - Phone:412-716-7749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN587584367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered