MEDICARE: ANN M SAGE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34008652	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396753125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN M SAGE D.O.

Provider Business Mailing Address
First Line	:	5400 FRANTZ RD
Second Line	:	STE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-4144
Country	:	US
Telephone Number	:	614-533-6535
Fax Number	:	614-544-6370

Provider Business Practice Location Address
First Line	:	6314 SCIOTO DARBY RD
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9726
Country	:	US
Telephone Number	:	614-533-6760
Fax Number	:	614-850-8485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	01/05/2022

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Directions to “ ANN M SAGE D.O.” Practice Location

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