Organization Active NPI

Sage Medical Clinic PC

  • General Practice Physician
  • Helena, MT
National Provider Identifier
1639399009
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6121 Issued in MT
Legal business name
SAGE MEDICAL CLINIC PC
Practice address
820 N. Montana Ave
Helena, MT 59601
Phone
(406) 443-7733
Fax
(406) 443-8292
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Sheri S Howell, M.DNPI 1104927722
Title
Medical Doctor
Phone
(406) 443-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 6121 MT Primary

Addresses

Primary practice location

820 N. Montana Ave
Helena, MT 59601

Mailing address

820 N Montana Ave
Helena, MT 59601-3856
Phone (406) 443-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000030 MT Part B Supplier - Clinic/Group Practice 9335246743 Receives reassigned benefits from 4 practitioners
Practice locations: Helena, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D1066685Sage Medical Clinic820 N Montana Ave, Ste B, Helena, MT 59601Provider-performed microscopyMar 28, 2027

National Provider Directory

National Provider Directory

Locations

2024 9th Ave
Ste 1
Helena, MT 59601
Phone (406) 443-7733

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1639399009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013856",
            "telephone_number": "406-443-7733",
            "fax_number": "406-443-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N. MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601",
            "telephone_number": "406-443-7733",
            "fax_number": "406-443-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "406-443-7733",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MT",
            "license": "6121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.