Renee Sartain D O LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34003964 Issued in OH

Legal business name

RENEE SARTAIN D O LLC

Practice address

6905 Perimeter Loop Rd
Ste 200
Dublin, OH 43016-9601

Phone

(614) 766-2220

Fax

(614) 799-3023

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Dominique Sartain

Title

Manager

Phone

(614) 766-2220

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Madelyn Renee Sartain DO Other name

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1821275611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 PERIMETER LOOP RD",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169601",
            "telephone_number": "614-766-2220",
            "fax_number": "614-799-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 PERIMETER LOOP RD",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169601",
            "telephone_number": "614-766-2220",
            "fax_number": "614-799-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE SARTAIN D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SARTAIN",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-766-2220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34003964",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": "34003964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0592729",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madelyn Renee Sartain DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.