Organization Active NPI

Sage Hematology and Oncology PLC

  • Hematology & Oncology Physician
  • Peoria, AZ
National Provider Identifier
1053015008
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SAGE HEMATOLOGY AND ONCOLOGY PLC
Practice address
13943 N 91St Ave Ste 101
Peoria, AZ 85381-3629
Phone
(623) 254-7271
Fax
(888) 388-1953
NPI assigned
Mar 27, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aida Golnazarian
Title
Office Manager
Phone
(623) 254-7271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

13943 N 91St Ave Ste 101
Peoria, AZ 85381-3629

Mailing address

13943 N 91St Ave Ste 101
Peoria, AZ 85381-3629

Other practice location 1

18715 N Reems Rd Ste 140
Surprise, AZ 85374-8643
Phone (623) 254-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426001137 AZ Part B Supplier - Clinic/Group Practice 7719342799 Receives reassigned benefits from 2 practitioners
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

18715 N Reems Rd
Ste 140
Surprise, AZ 85374
Phone (623) 310-2626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1053015008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813629",
            "telephone_number": "623-254-7271",
            "fax_number": "888-388-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18715 N Reems Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748643",
            "country_code": "US",
            "telephone_number": "623-254-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE HEMATOLOGY AND ONCOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "GOLNAZARIAN",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-254-7271"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.