NPIMap

Organization Active NPI

Sage Health LLC

  • Family Medicine Physician
  • Goodyear, AZ
National Provider Identifier
1669622569
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32983 Issued in AZ
Legal business name
SAGE HEALTH LLC
Practice address
14419 W McDowell Rd
Suite E-102
Goodyear, AZ 85395-2511
Phone
(623) 535-3857
Fax
(623) 535-4310
NPI assigned
Sep 26, 2008
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Stanley Wen, MDNPI 1699763797
Title
Physician/Owner
Phone
(623) 535-3857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32983 AZ Primary

Addresses

Primary practice location

14419 W McDowell Rd
Suite E-102
Goodyear, AZ 85395-2511

Mailing address

14419 W McDowell Rd
Suite E-102
Goodyear, AZ 85395-2511
Phone (623) 535-3857

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1669622569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14419 W MCDOWELL RD",
            "address_2": "SUITE E-102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952511",
            "telephone_number": "623-535-3857",
            "fax_number": "623-535-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14419 W MCDOWELL RD",
            "address_2": "SUITE E-102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952511",
            "telephone_number": "623-535-3857",
            "fax_number": "623-535-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "WEN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "623-535-3857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

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