Richard M Sag MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME46257 Issued in FL

Legal business name

RICHARD M SAG MD PA

Practice address

5401 Alhambra Dr
Suite D
Orlando, FL 32808-7081

Phone

(407) 297-1497

Fax

(407) 297-8917

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Coolidge

Title

Agent/Representative

Phone

(376) 774-5211

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Lynn Sag, ARPN

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1073696266
  NPD (past)
• Richard M Sag, MD

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1649216730
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1306022884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741240",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327741240",
            "telephone_number": "376-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 ALHAMBRA DR",
            "address_2": "SUITE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087081",
            "telephone_number": "407-297-1497",
            "fax_number": "407-297-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M SAG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "COOLIDGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AGENT/REPRESENTATIVE",
        "authorized_official_telephone_number": "376-774-5211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME46257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rich, RPSGT
• Rebecca L Rich, PT
• Richard L Smith MD PA
• Richard L Smith MD PA
• Richard L Smith MD PA
• Darren Richard, RN
• Casie Richards, DPT
• Dynisha Richards
• Kristin Ann Richards, PHARMD
• Lakesha Richards

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.