Provider Demographics
NPI:1558420786
Name:GAGE, DANA LEE (MD)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:LEE
Last Name:GAGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:DIXIE
Other - Middle Name:LEE
Other - Last Name:GAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 LITTLE BRITAIN ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-568-6100
Mailing Address - Fax:845-568-6103
Practice Address - Street 1:10 LITTLE BRITAIN ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550
Practice Address - Country:US
Practice Address - Phone:845-568-6100
Practice Address - Fax:845-568-6103
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145632207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00061090OtherINDEP HEALTH
117612OtherMVP
25C871OtherBLUE CHOICE
25C871OtherEMPIRE BCBS
4634443OtherAETNA PPO
25C871OtherBLUE CROSS
4700215OtherGHI
14182542OtherMAGNA CARE
P699471OtherOXFORD
2072552OtherUS HEALTHCARE AETNA HMO
3698OtherSIEBA
27261POtherHIP
OR0000301OtherBLUE SHIELD NE SELECT PNO
P699471OtherWELL CARE
12188OtherGHI HMO
1726040OtherUNITED HC
12188OtherGHI HMO
2072552OtherUS HEALTHCARE AETNA HMO