Provider Demographics
NPI:1295943868
Name:SAPPINGTON, JOHN (MD,LCAS,MAC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:SAPPINGTON
Suffix:
Gender:M
Credentials:MD,LCAS,MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 CASPER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-9700
Mailing Address - Country:US
Mailing Address - Phone:307-251-2330
Mailing Address - Fax:
Practice Address - Street 1:356 CHARLOTTE RD
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2916
Practice Address - Country:US
Practice Address - Phone:828-287-7945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010888492084P0800X
NCLCAS-20795101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry