Healthcare Provider Details

I. General information

NPI: 1578879565
Provider Name (Legal Business Name): SARA DANIELLE BARNETT-HAMEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA DANIELLE BARNETT MD

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 N COVE BLVD # 5-N
TOLEDO OH
43606-3895
US

IV. Provider business mailing address

2142 N COVE BLVD # 5-N
TOLEDO OH
43606-3895
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-7403
  • Fax: 419-479-6102
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301096925
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.122298
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: