Healthcare Provider Details

I. General information

NPI: 1710583042
Provider Name (Legal Business Name): SARAH MARKLEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH FELIX

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 MONROE ST UNIT 103
SYLVANIA OH
43560-2771
US

IV. Provider business mailing address

5700 MONROE ST UNIT 103
SYLVANIA OH
43560-2771
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-7996
  • Fax: 419-841-7704
Mailing address:
  • Phone: 419-843-7996
  • Fax: 419-841-7704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.007398RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: