Healthcare Provider Details

I. General information

NPI: 1215012851
Provider Name (Legal Business Name): SARA M ALDERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3503 SOUTHWEST BLVD
GROVE CITY OH
43123-3897
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-6140
  • Fax: 614-533-6141
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-088486
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: