Active NPI
Sage Hematology and Oncology PLC
- Hematology & Oncology Physician
- Peoria, AZ
National Provider Identifier
1053015008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Peoria, AZ
- NPI 1457584823
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.