ADAM SANDERSON DO
NPI 1962106401
Student in an Organized Health Care Education/Training Program in Wpafb, OH

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 29, 2023PECOS Enrolled

4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2026, Dec 6, 2024, Mar 29, 2023 (3 updates tracked since 2023).

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About Adam Sanderson Do NPPES

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

ADAM SANDERSON DO (NPI 1962106401) is an individual student in an organized health care education/training program in Wpafb, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962106401

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADAM SANDERSONCredential: DO

Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-9926

Phone(937) 257-9926

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1962106401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0102209168 (VA)

4881 SUGAR MAPLE DR, Wpafb, OH 45433

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Sanderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.