Healthcare Provider Details

I. General information

NPI: 1023370723
Provider Name (Legal Business Name): SARAH CATHERINE PERRYMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2012
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 PEBBLE VILLAGE LN STE 200
NOBLESVILLE IN
46062-7411
US

IV. Provider business mailing address

5540 PEBBLE VILLAGE LN STE 200
NOBLESVILLE IN
46062-7411
US

V. Phone/Fax

Practice location:
  • Phone: 317-900-4060
  • Fax: 317-900-4698
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number02004523A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: