Active NPI
Sarah Wadowski, PA
- Physician Assistant
- Petoskey, MI
National Provider Identifier
1053412940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- SW004663
- Practice address
- 1890 US Highway 131
Petoskey, MI 49770-8344 - Phone
- (231) 487-6000
- Fax
- (231) 487-6014
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | SW004663 | MI | Primary |
Addresses
Primary practice location
1890 US Highway 131
Petoskey, MI 49770-8344
Mailing address
1890 US Highway 131
Petoskey, MI 49770-8344
Phone (231) 487-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW004663 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW004663 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1053412940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 US HIGHWAY 131",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708344",
"telephone_number": "231-487-6000",
"fax_number": "231-487-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 US HIGHWAY 131",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708344",
"telephone_number": "231-487-6000",
"fax_number": "231-487-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADOWSKI",
"first_name": "SARAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "SW004663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SW004663",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
- Vision Max PC
- Vital Care Home Medical Equip Inc (McLaren Home Care & Hospice)
- VMS Northern Michigan PC
- Marit Elizabeth Vogel, M.D.
- Eric Voisin, PHARMD
- Laura Wagner, LLMSW
- Shelby Lynn Waibel, FNP BC
- Stephanie Waisanen, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2417)
- Wal-Mart Stores East, LP (Vision Center 30-2417)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.