Healthcare Provider Details

I. General information

NPI: 1912438078
Provider Name (Legal Business Name): SARAH GELLMAN BISKAMP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 HARPER ST
AUGUSTA GA
30912-3108
US

IV. Provider business mailing address

357 MCCASLIN BLVD STE 200
LOUISVILLE CO
80027-2932
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-0960
  • Fax:
Mailing address:
  • Phone: 720-295-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberDR.0070202
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number85894
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberS5168
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: