Provider Demographics
NPI:1033282207
Name:SAYEGH, MICHAEL JR (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SAYEGH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-3059
Mailing Address - Country:US
Mailing Address - Phone:740-435-8484
Mailing Address - Fax:740-432-2528
Practice Address - Street 1:1175 S 13TH ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-3059
Practice Address - Country:US
Practice Address - Phone:740-435-8484
Practice Address - Fax:740-432-2528
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-085692208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC85692OtherHEALTHPLAN
OH000000391421OtherUNICARE
OH2551493Medicaid
OH000000391421OtherANTHEM
OH2551493Medicaid
OH000000391421OtherUNICARE