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NPI Code Detail

MEDICARE: CATHERINE M SARGENT DO

MEDICARE: CATHERINE M SARGENT DO
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
1207Q00000XFamily Medicine Physician34007228SOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00026715OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12591117OTHEROHAETNA
234193580OTHEROHTRICARE
4000000204896OTHEROHANTHEM
5341935880036OTHEROHCARESOURCE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811995277
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE M SARGENT DO
Provider Business Mailing Address
First Line : 2633 COMMONS BLVD STE 120
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-3827
Country : US
Telephone Number : 937-427-8912
Fax Number : 937-702-9041
Provider Business Practice Location Address
First Line : 2633 COMMONS BLVD STE 120
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-3827
Country : US
Telephone Number : 937-427-8912
Fax Number : 937-702-9041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 11/20/2024

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Directions to “ CATHERINE M SARGENT DO” Practice Location

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