Provider Demographics
NPI:1134400062
Name:SAGER HEALTHCARE, PLLC
Entity type:Organization
Organization Name:SAGER HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:SAGER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:918-693-0834
Mailing Address - Street 1:11201 E 121ST CT N
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5598
Mailing Address - Country:US
Mailing Address - Phone:918-371-6977
Mailing Address - Fax:
Practice Address - Street 1:821 S PINE ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4350
Practice Address - Country:US
Practice Address - Phone:405-533-7332
Practice Address - Fax:405-533-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0075262261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1033182258OtherNPI FOR KRISTI SAGER