Provider Demographics
NPI:1891760278
Name:NEASE, SARAH M (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:NEASE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3411 NOYES AVE
Mailing Address - Street 2:STE B
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1351
Mailing Address - Country:US
Mailing Address - Phone:304-926-8080
Mailing Address - Fax:304-926-8083
Practice Address - Street 1:4315 MACCORKLE AVE SE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-2503
Practice Address - Country:US
Practice Address - Phone:304-926-8080
Practice Address - Fax:304-926-8083
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV16598207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0073916000Medicaid
WVP00390155OtherRAILROAD MEDICARE
WVNE6035211Medicare PIN
WVP00390155OtherRAILROAD MEDICARE