Individual provider Active NPI

Sarah Leone Blough, PA-C

  • Physician Assistant
  • Highland, MI
National Provider Identifier
1962697136
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005150 Issued in MI
Practice address
2116 S Milford Rd
Highland, MI 48357-4609
Phone
(348) 942-5888
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Urgent Care PLLC 26 clinicians

Practice addresses (Care Compare)

2116 S Milford Rd
Highland, MI 48357-4609
Phone (248) 942-5888

320 Town Ctr Blvd
Suite 101
White Lake, MI 48386-2183

5889 Bay Rd
Suite 106
Saginaw, MI 48604-2540
Phone (989) 301-9449

9547 Chilson CMNS
Pinckney, MI 48169-9598
Phone (248) 942-5888

9749 Dixie Hwy
Suite B
Clarkston, MI 48348-5406
Phone (248) 942-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071016000049 MI Practitioner - Physician Assistant 9931295482 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005150MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Urgent Care, P. C. CurrentSince Mar 14, 2019 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Mar 14, 2019 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

215 E Auburn Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005150 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

2116 S Milford Rd
Highland, MI 48357-4609

Mailing address

2116 S Milford Rd
Highland, MI 48357-4609
Phone (248) 942-5888

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
700H231390OtherMIBCBSM GROUP NUMBER

Other names 1

NPPES NPI Registry
  • Sarah Leone Picarello Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2022.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1962697136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574609",
            "telephone_number": "248-942-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574609",
            "telephone_number": "348-942-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUGH",
        "first_name": "SARAH",
        "middle_name": "LEONE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700H231390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PICARELLO",
            "middle_name": "LEONE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, MI

Sources for this page

Verify at the official NPI Registry.