NPIMap

Organization Active NPI

Sage Holistic Health Services, LLC

  • Chiropractor
  • Marengo, OH
National Provider Identifier
1982887170
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3147 Issued in OH
Legal business name
SAGE HOLISTIC HEALTH SERVICES, LLC
Practice address
4560 State Route 229
Marengo, OH 43334-0253
Phone
(419) 253-1234
Fax
(419) 253-1334
NPI assigned
Dec 11, 2007
Organization subpart
Yes
Parent organization
SAGE HOLISTIC HEALTH SERVICES,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Mark Zachary Zader, DCNPI 1033231386
Title
Clinic Director
Phone
(419) 253-1234

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3147 OH Primary

Addresses

Primary practice location

4560 State Route 229
Marengo, OH 43334-0253

Mailing address

PO Box 253
Marengo, OH 43334-0253
Phone (419) 253-1234

Other names 1

  • Sage Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000370 OH Part B Supplier - Clinic/Group Practice 7911993290 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Gilead, OH

National Provider Directory

National Provider Directory
Part of
Sage Holistic Health Services LLC

Locations

4560 State Route 229
Marengo, OH 43334
Phone (419) 253-1234

4560 State Route 229
Ste B
Marengo, OH 43334
Phone (419) 253-1234

235 W High St
#A
Mount Gilead, OH 43338
Phone (419) 253-1234

Practitioners & affiliated clinicians

Practitioners 1

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1982887170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433340253",
            "telephone_number": "419-253-1234",
            "fax_number": "419-253-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 STATE ROUTE 229",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433340253",
            "telephone_number": "419-253-1234",
            "fax_number": "419-253-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HOLISTIC HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE HOLISTIC HEALTH SERVICES,LLC",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ZADER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "419-253-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marengo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.