Individual provider Active NPI

Katherine J Sage, D.O.

  • Orthopaedic Surgery Physician
  • Grand Rapids, MI
National Provider Identifier
1073809935
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101019357 Issued in MI
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019357MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Dec 9, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Nov 1, 2021 Accepting new patients
Mymichigan Medical Group Orthopaedic Surgery CurrentSince Nov 1, 2021 Accepting new patients
Metropolitan Hospital CurrentSince Dec 9, 2019 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.

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

Verify at the official NPI Registry.