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JIM CLARK SANDERS D.O.
NPI 1689608291
Family Medicine in De Soto, MO

Active since July 10, 2006
12 JEFFERSON SQ, DE SOTO, MO 63020(636) 586-6685(636) 586-2780 Get Directions Write a Review

NPPES record last updated: July 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jim Clark Sanders D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIM CLARK SANDERS D.O. (NPI 1689608291) is an individual family medicine provider in De Soto, Missouri, licensed in Alaska (MD2799) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689608291
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJIM CLARK SANDERSCredential: D.O.
Location Address12 JEFFERSON SQDe Soto, MO 63020-1031
Mailing Address12 Jefferson SqDe Soto, MO 63020-1031 · (636) 586-6685 · Fax (636) 586-2780
Phone(636) 586-6685
Fax(636) 586-2780
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 26, 2010
✔ NPI 1689608291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AK · MD2799✔ Licensed in MO · 2009024604
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12 JEFFERSON SQ, De Soto, MO 63020
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Other Identifiers 2

Medicare OSCAR/certification268642MO
Medicare ID-Type Unspecified0000LGBTPAK

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROWDEN FAMILY MEDICINE, PC
Family Medicine
12 JEFFERSON SQ
DE SOTO, MO 63020
Jefferson County (636) 586-6685
MEGAN BROOKE REANDO FNP-C
Nurse Practitioner (Family)
12 JEFFERSON SQ
DE SOTO, MO 63020
Jefferson County (636) 586-6685
STEVEN CRAWFORD DO
Family Medicine
12 JEFFERSON SQ
DE SOTO, MO 63020
Jefferson County (636) 586-6685
STEVEN CRAWFORD
Family Medicine
12 JEFFERSON SQ
DESOTO, MO 63020
Jefferson County (636) 586-6685
MRS. WHITNEY RENEE HOLLANDER LCSW
Social Worker (Clinical)
12 JEFFERSON SQ
DE SOTO, MO 63020
Jefferson County (636) 586-6685
MRS. HATTIE DEBORD FNP
Nurse Practitioner (Psychiatric/Mental Health)
12 JEFFERSON SQ
DE SOTO, MO 63020
Jefferson County (636) 586-6685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jim Sanders's NPI number?

The NPI number for Jim Sanders is 1689608291. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Jim Sanders located?

Jim Sanders practices at 12 Jefferson Sq, De Soto, MO 63020. The listed phone number is (636) 586-6685.

What is Jim Sanders's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jim Sanders was last updated on July 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.