Sage Integrative Medicine PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

11640 Issued in NH

Legal business name

SAGE INTEGRATIVE MEDICINE PLLC

Practice address

157 Portsmouth Ave
Unit 13
Stratham, NH 03885-2477

Phone

(603) 583-4780

Fax

(603) 821-0273

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Marney D Roemmelt, M.D.

Title

Owner

Phone

(603) 583-4780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1922408608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PORTSMOUTH AVE",
            "address_2": "UNIT 13",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852477",
            "telephone_number": "603-583-4780",
            "fax_number": "603-821-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PORTSMOUTH AVE",
            "address_2": "UNIT 13",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852477",
            "telephone_number": "603-583-4780",
            "fax_number": "603-821-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE INTEGRATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ROEMMELT",
        "authorized_official_first_name": "MARNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-583-4780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NH",
            "license": "11640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Stratham, NH
• Providers in Stratham, NH by specialty
• Adult Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.