Active NPI
Sage Anesthesia Management
- Anesthesiology Physician
- Plano, TX
National Provider Identifier
1972969368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SAGE ANESTHESIA MANAGEMENT
- Practice address
- 3217 Hunter LN
Plano, TX 75093-8826 - Phone
- (844) 290-7400
- Fax
- (214) 301-0649
- NPI assigned
- Jan 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Otis Robert Davis, MD
- Title
- Manager
- Phone
- (844) 290-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3217 Hunter LN
Plano, TX 75093-8826
Mailing address
PO Box 842622
Dallas, TX 75284-2622
Phone (972) 422-5941
National Provider Directory
National Provider DirectoryLocations
801 E Plano Pkwy
Ste 100
Plano, TX 75074
Phone (972) 841-5820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1972969368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842622",
"city": "DALLAS",
"state": "TX",
"postal_code": "752842622",
"telephone_number": "972-422-5941",
"fax_number": "214-301-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 HUNTER LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750938826",
"telephone_number": "844-290-7400",
"fax_number": "214-301-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE ANESTHESIA MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-14",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "OTIS",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "844-290-7400",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.