Provider Demographics
NPI:1659455269
Name:LONGMIRE-COOK, SARAH J (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:LONGMIRE-COOK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8550 NAAB RD STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2086
Mailing Address - Country:US
Mailing Address - Phone:317-875-5461
Mailing Address - Fax:317-872-1374
Practice Address - Street 1:8550 NAAB RD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2086
Practice Address - Country:US
Practice Address - Phone:317-875-5461
Practice Address - Fax:317-872-1374
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01062710A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C71207Medicare UPIN