Organization Active NPI

Sage Anesthesia Management

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1972969368
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
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

Updated by the provider on Jul 30, 2021

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.