Provider Demographics
NPI:1396753125
Name:SAGE, ANN M (DO)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:SAGE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:STE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:614-533-6535
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:6314 SCIOTO DARBY RD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-9726
Practice Address - Country:US
Practice Address - Phone:614-533-6760
Practice Address - Fax:614-850-8485
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-01-05
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Provider Licenses
StateLicense IDTaxonomies
OH34008652207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2684788Medicaid
OH4187814Medicare PIN