Organization Active NPI

Sage Family Medicine

  • Family Medicine Physician
  • Broomfield, CO
National Provider Identifier
1942535448
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAGE FAMILY MEDICINE
Practice address
413 Summit Blvd
Suite 201
Broomfield, CO 80021-8294
Phone
(303) 464-7243
Fax
(303) 469-2898
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Sara GeorgeNPI 1881697399
Title
Owner
Phone
(303) 464-7243

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

413 Summit Blvd
Suite 201
Broomfield, CO 80021-8294

Mailing address

413 Summit Blvd
Suite 201
Broomfield, CO 80021-8294
Phone (303) 464-7243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000653 CO Part B Supplier - Clinic/Group Practice 4789727629 Receives reassigned benefits from 2 practitioners
Practice locations: Broomfield, CO

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
06D1107655Sage Family Medicine413 Summit Blvd Ste 201, Broomfield, CO 80021Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1942535448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD",
            "address_2": "SUITE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218294",
            "telephone_number": "303-464-7243",
            "fax_number": "303-469-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SUMMIT BLVD",
            "address_2": "SUITE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218294",
            "telephone_number": "303-464-7243",
            "fax_number": "303-469-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-464-7243",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.