Healthcare Provider Details

I. General information

NPI: 1104517762
Provider Name (Legal Business Name): SARAH ELIZABETH CRISE DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1989 MIAMISBURG CENTERVILLE RD STE 200
DAYTON OH
45459-3858
US

IV. Provider business mailing address

1989 MIAMISBURG CENTERVILLE RD STE 200
DAYTON OH
45459-3858
US

V. Phone/Fax

Practice location:
  • Phone: 937-938-6444
  • Fax:
Mailing address:
  • Phone: 937-938-6444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36004227
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: