Active NPI
Joanne Lynn Sag, ARPN
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1073696266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ARNP1894492
- Practice address
- 5401 Alhambra Avenue
Suite D Richard M Sag MD PA
Orlando, FL 32808-7081 - Phone
- (407) 297-1497
- Fax
- (407) 297-8917
- NPI assigned
- Oct 23, 2006
- Last updated
- May 16, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ARNP1894492 | FL | Primary |
Addresses
Primary practice location
5401 Alhambra Avenue
Suite D Richard M Sag MD PA
Orlando, FL 32808-7081
Mailing address
PO Box 741240
Orange City, FL 32774-1240
Phone (386) 774-5211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303592100 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1894492 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard M Sag MD PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1306022884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1073696266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741240",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327741240",
"telephone_number": "386-774-5211",
"fax_number": "386-774-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 ALHAMBRA AVENUE",
"address_2": "SUITE D RICHARD M SAG MD PA",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328087081",
"telephone_number": "407-297-1497",
"fax_number": "407-297-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAG",
"first_name": "JOANNE",
"middle_name": "LYNN",
"credential": "ARPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ARNP1894492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303592100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Safe Terrain Counseling, LLC
- Safe Travel Service LLC
- Safety First Home Services Corporation
- Safety Harbor Adult Day Care & Activity Center LLC
- Oscar E Saffold, M.D
- Leah Sag, M.D.
- Richard M Sag, MD
- Meenor Sagar, M.D.
- Sage Atlas LLC
- Sage Atlas LLC Dba Brightstar Care of E. Orlando / Lake Nona (BrightStar Care of E. Orlando/Lake Nona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.