Provider Demographics
NPI:1023370723
Name:PERRYMAN, SARAH CATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:CATHERINE
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5540 PEBBLE VILLAGE LN STE 200
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7411
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5540 PEBBLE VILLAGE LN STE 200
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-7411
Practice Address - Country:US
Practice Address - Phone:317-900-4060
Practice Address - Fax:317-900-4698
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02004523A207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300005468Medicaid
IN300005468Medicaid