Provider Demographics
NPI:1649444621
Name:SCHWARTZ, SARAH BOEHMER (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BOEHMER
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:BOEHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5400 FRANTZ RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10401 SAWMILL PKWY
Practice Address - Street 2:SUITE 40
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7451
Practice Address - Country:US
Practice Address - Phone:614-764-0200
Practice Address - Fax:614-764-2782
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.091183207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2980896Medicaid
OHH113840Medicare PIN
OH4273871Medicare PIN
OHP00828536Medicare PIN