Active NPI
Sarah Mae Tracey, MS, AT, ATC
- Sports Medicine (Internal Medicine) Physician
- Dublin, OH
National Provider Identifier
1154976058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- AT005913
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000035614 | Other | BOARD OF CERTIFICATION FOR ATHLETIC TRAINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT005913 | OH | MD | Sports 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.