Active NPI
Katherine J Sage, D.O.
- Orthopaedic Surgery Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101019357
- Practice address
- 1195 Wilson Ave NW Ste 200
Grand Rapids, MI 49534-6405 - Phone
- (616) 453-8277
- Fax
- (616) 453-2002
- NPI assigned
- Jun 20, 2011
- Last updated
- Apr 18, 2018
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101019357 | MI | Primary |
Addresses
Primary practice location
1195 Wilson Ave NW Ste 200
Grand Rapids, MI 49534-6405
Mailing address
5175 Plainfield Ave NE
Grand Rapids, MI 49525-1048
Phone (616) 453-0294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019357 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Metropolitan Hospital | Current | Accepting new patients |
Locations
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178
781 36th St SE
Wyoming, MI 49548
Phone (616) 252-4100
Organizations & group practices 4
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.
-
dba Metro Health Community Clinic
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
-
dba Metro Health Hospital
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1689623506
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1073809935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5175 PLAINFIELD AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495251048",
"telephone_number": "616-453-0294",
"fax_number": "616-726-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 WILSON AVE NW STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495346405",
"telephone_number": "616-453-8277",
"fax_number": "616-453-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "KATHERINE",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101019357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.