Provider Demographics
NPI:1417253428
Name:SAGE, ROSS ANDREW (MD)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:ANDREW
Last Name:SAGE
Suffix:
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:PO BOX 631341
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-1341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:317 SAINT FRANCIS DR STE 330
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3914
Practice Address - Country:US
Practice Address - Phone:864-335-7555
Practice Address - Fax:833-459-0877
Is Sole Proprietor?:No
Enumeration Date:2011-02-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN60325207RG0100X
SC89825207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology