Provider Demographics
NPI:1609825140
Name:DENNING, SARA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:DENNING
Suffix:
Gender:F
Credentials:PA-C
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 352108
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43635-2108
Mailing Address - Country:US
Mailing Address - Phone:419-843-7780
Mailing Address - Fax:419-517-0216
Practice Address - Street 1:1818 CHAPEL DR
Practice Address - Street 2:SUITE A
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1335
Practice Address - Country:US
Practice Address - Phone:419-843-7780
Practice Address - Fax:419-517-0216
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.001767363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N8717OtherBCBSTX-HOSP BASED
TX8N9796OtherBCBSTX OFFICE BASED
TX8N9796OtherBCBSTX OFFICE BASED
TX8N8717OtherBCBSTX-HOSP BASED
TXP93587Medicare UPIN
TX542188284OtherEIN OFFICE BASED
TX8A9323Medicare Oscar/Certification