Individual provider Active NPI

Sarah Milliron, DO

  • Family Medicine Physician
  • Maumee, OH
National Provider Identifier
1275851180
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-010909 Issued in OH
Practice address
1900 Indian Wood Cir Ste 202B
Maumee, OH 43537
Phone
(419) 578-8594
Fax
(855) 618-2622
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-010909 OH Primary

Addresses

Primary practice location

1900 Indian Wood Cir Ste 202B
Maumee, OH 43537

Mailing address

1900 Indian Wood Cir Ste 202B
Maumee, OH 43537-4039
Phone (419) 578-8594

Other practice location 1

5300 Harroun Rd
# 304
Sylvania, OH 43560-2182
Phone (419) 824-1100

Other practice location 2

5300 Harroun Rd
# 304
Sylvania, OH 43560-2182
Phone (419) 824-1100

Other identifiers 1

IdentifierTypeStateIssuer
0085762MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130720000023 OH Practitioner - Family Practice 8022256379 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-010909OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Vpa PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

1900 Indian Wood Cir
Ste 202B
Maumee, OH 43537
Phone (419) 578-8594

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

Organizations & group practices 5

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1275851180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 INDIAN WOOD CIR STE 202B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374039",
            "telephone_number": "419-578-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 INDIAN WOOD CIR STE 202B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-578-8594",
            "fax_number": "855-618-2622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Harroun Rd",
            "address_2": "# 304",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602182",
            "country_code": "US",
            "telephone_number": "419-824-1100",
            "fax_number": "419-824-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Harroun Rd",
            "address_2": "# 304",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602182",
            "country_code": "US",
            "telephone_number": "419-824-1100",
            "fax_number": "419-824-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "SARAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-010909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.