Active NPI
William Patrick Sage, M.D.
- Otolaryngology Physician
- Victoria, TX
National Provider Identifier
1437140118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D6160
- Practice address
- 117 Medical Drive
Suite 1
Victoria, TX 77904-3102 - Phone
- (361) 573-4331
- Fax
- (361) 573-5096
- NPI assigned
- Nov 2, 2005
- Last updated
- Aug 18, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D6160 | TX | Primary |
Addresses
Primary practice location
117 Medical Drive
Suite 1
Victoria, TX 77904-3102
Mailing address
117 Medical Drive
Suite 1
Victoria, TX 77904-3102
Phone (361) 573-4331
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4365757 | Other | TX | AETNA |
| 126188501 | Medicaid | TX | |
| 84K502 | Other | TX | BCBS |
| 214881 | Other | IL | GROUP MEDICARE PTAN |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Victoria ENT Associates, LLP | Otolaryngology | 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.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Otolaryngology Physician
- Victoria, TX
- NPI 1962480392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1437140118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MEDICAL DRIVE",
"address_2": "SUITE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-573-4331",
"fax_number": "361-573-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MEDICAL DRIVE",
"address_2": "SUITE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043102",
"telephone_number": "361-573-4331",
"fax_number": "361-573-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "WILLIAM",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "D6160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4365757",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126188501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84K502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
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- Bruce A Ryan, PHYSICAL THERAPIST
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- Sacred Heart EMS, Inc (Sacred Heart Medical Service)
- Elma Saenz, LCSW, LCDC
- Olivia Lea Sager, MSN, RN, CPNP
- Shabbir I Saiyed, M.D.
- Jamie Lynn Salas, LPC
- Brooke Salazar
- Kristen Nicole Salinas, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.