Individual provider Active NPI

Sarah Mae Tracey, MS, AT, ATC

  • Sports Medicine (Internal Medicine) Physician
  • Dublin, OH
National Provider Identifier
1154976058
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
AT005913 Issued in OH
Practice address
5680 Venture Dr
Dublin, OH 43017-2190
Phone
(614) 355-8736
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X AT005913 OH Primary

Addresses

Primary practice location

5680 Venture Dr
Dublin, OH 43017-2190

Mailing address

1143 Wimbeldon Blvd
Columbus, OH 43228-9326
Phone (740) 504-6311

Other identifiers 1

IdentifierTypeStateIssuer
2000035614OtherBOARD OF CERTIFICATION FOR ATHLETIC TRAINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.tracey@nationwidechildrens.org Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT005913OHMDSports Medicine (Internal Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1154976058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 WIMBELDON BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289326",
            "telephone_number": "740-504-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 VENTURE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172190",
            "telephone_number": "614-355-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACEY",
        "first_name": "SARAH",
        "middle_name": "MAE",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OH",
            "license": "AT005913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR ATHLETIC TRAINERS",
            "identifier": "2000035614",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.tracey@nationwidechildrens.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5680 Venture Dr",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430172190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.