Timothy Scott Sarge II

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.175376.MEDS-IV Issued in OH

Practice address

15655 State Route 170 Ste a
East Liverpool, OH 43920-9672

Phone

(330) 386-4303

NPI assigned

Dec 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Department of Veteran's Affairs

  • Public Health or Welfare Agency
  • Calcutta, OH
  • NPI 1073761490
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1396458980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49721 S PARK CIR",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209586",
            "telephone_number": "330-843-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170 STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209672",
            "telephone_number": "330-386-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGE",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.175376.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olben Saint Fleur, M.D.
• Ryan Sampson
• Robert Anthony Sanchez
• Madison Marie Sapp
• Amy Sue Sarge, LPN
• Timothy Scott Sarge Sr., LPN
• Kiah S Sartain, LPC
• Jessica Joy Savopoulos, DDS
• Robert Jerome Scanlon, DPM
• Frank Michael Schlehofer, DO

• Licensed Practical Nurse in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.