Active NPI
Sara Staupe Holzgen, D.O.
- Obstetrics & Gynecology Physician
- Norton Shores, MI
National Provider Identifier
1215183892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5101017989
- Practice address
- 6401 Prairie St
Norton Shores, MI 49444-7840 - Phone
- (231) 727-7939
- Fax
- (231) 727-7935
- NPI assigned
- Aug 14, 2008
- Last updated
- Jan 10, 2022
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101017989 | MI | Primary |
Addresses
Primary practice location
6401 Prairie St
Norton Shores, MI 49444-7840
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 672-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI4160008 | Other | MI | MEDICARE GROUP PTAN |
Other names 1
- Sara J Staupe
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101017989 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Services | Obstetrics & Gynecology | Past | Accepting new patients |
| Mercy Urgent Care | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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 Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1629010384
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1215183892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-672-2120",
"fax_number": "313-432-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 PRAIRIE ST",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494447840",
"telephone_number": "231-727-7939",
"fax_number": "231-727-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZGEN",
"first_name": "SARA",
"middle_name": "STAUPE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101017989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "MI4160008",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "STAUPE",
"middle_name": "J",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.