Organization Active NPI

Sage Medical Group PLLC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1336414101
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012605 Issued in MI
Legal business name
SAGE MEDICAL GROUP PLLC
Practice address
6201 Fox Glen Dr
Apt 292
Saginaw, MI 48638-7352
Phone
(586) 980-4391
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Charlie Rohr
Title
Husband
Phone
(586) 980-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 5101012605 MI Primary

Addresses

Primary practice location

6201 Fox Glen Dr
Apt 292
Saginaw, MI 48638-7352

Mailing address

3061 Christy Way
Saginaw, MI 48603-2224
Phone (989) 791-2455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1336414101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 FOX GLEN DR",
            "address_2": "APT 292",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387352",
            "telephone_number": "586-980-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "ROHR",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "HUSBAND",
        "authorized_official_telephone_number": "586-980-4391"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.