SAGE MEDICAL GROUP LLC (NPI# 1164561528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164561528 |
| Entity Type | Organization |
| Organization Name | SAGE MEDICAL GROUP LLC |
| Other Organization Name | SAGE MEDICAL GROUP LABORATORY |
| Practice Address |
419 S Washington Street Suite 201 Casper WY 82601 |
| Mailing Address |
Po Box 50750 Casper WY 82605 |
| Practice Telephone | 3072658300 |
| Practice Fax Number | 3072658313 |
| Mailing Telephone | 3072658300 |
| Mailing Fax Number | 3072658313 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES D MOSES (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 3072658300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | WY | Laboratories |
| Other Name | Type Code |
|---|---|
| Sage Medical Group Laboratory | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700854346 | Sage Medical Group LLC | Clinic/Center | 419 S Washington St, Ste 200, Casper, WY 82601 | 2006-03-09 |
| Street Address |
419 S WASHINGTON STREET SUITE 201 |
| City | CASPER |
| State | WY |
| Zip Code | 82601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144316027 | Diana M Graney | Nutritionist | 419 S Washington Street, Suite 200, Casper, WY 82601 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672111 | Laboratory Corporation of America | Clinical Medical Laboratory | 2115 E 12th St, Unit A, Casper, WY 82601-7106 | 2006-01-06 |
| 1447761598 | Cedars Health | Clinical Medical Laboratory | 428 S Durbin St Ste 104, Casper, WY 82601-2818 | 2017-10-17 |
| 1700127040 | Wyoming Medical Center Clinical Lab | Clinical Medical Laboratory | 1233 E 2nd St, Casper, WY 82601-2926 | 2013-03-12 |
| 1386916724 | North Platte Pathology LLC | Clinical Medical Laboratory | 111 S Jefferson St, Ste 150b, Casper, WY 82601-2654 | 2012-02-01 |
| 1528360385 | Regional West Medical Center | Clinical Medical Laboratory | 940 E 3rd St, Suite 103, Casper, WY 82601-3200 | 2010-11-30 |
| 1184926941 | Regional West Medical Center | Clinical Medical Laboratory | 6500 E 2nd St, Suite 201, Casper, WY 82609-4339 | 2010-11-30 |
| 1083943252 | Laboratory Corporation of America | Clinical Medical Laboratory | 940 E 3rd St, Ste 101, Casper, WY 82601-3237 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740818541 | Lander Labs LLC | Clinical Medical Laboratory | 890 N 2nd St, Lander, WY 82520-2202 | 2020-03-29 |
| 1043769078 | Employment Testing Services | Clinical Medical Laboratory | 3805 South Douglas Hwy, Unit 1, Gillette, WY 82718 | 2016-10-03 |
| 1730550765 | S. Spindle LLC | Clinical Medical Laboratory | 4620 Grandview Ave Ste 201, Cheyenne, WY 82009-4964 | 2015-10-16 |
| 1336530013 | Medical Arts Laboratory, Inc | Clinical Medical Laboratory | 407 S Medical Arts Ct Ste E, Gillette, WY 82716-3372 | 2015-02-17 |
| 1952739633 | Wyoming Public Health Laboratory | Clinical Medical Laboratory | 208 S College Dr, Cheyenne, WY 82007-2600 | 2013-10-16 |
| 1326354333 | Ninak Inc | Clinical Medical Laboratory | 1916 Evans Ave, Cheyenne, WY 82001-3716 | 2010-08-27 |
| 1821329459 | Karen Fay Gibson | Clinical Medical Laboratory | 29 Blackcoal Dr., Laboratory, Fort Washakie, WY 82514 | 2010-01-21 |
| 1902137862 | Billy Burke Stange | Clinical Medical Laboratory | 125 Dillon Dr Apt 104, Lander, WY 82520-2938 | 2010-01-15 |
| 1558554113 | Altitude Analysis, Inc | Clinical Medical Laboratory | 2528 Foothill Blvd Ste A, Rock Springs, WY 82901-4745 | 2007-08-27 |
| 1992929285 | Memorial Hospital of Carbon County | Clinical Medical Laboratory | 2221 West Elm Str., Rawlins, WY 82301 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAGE MEDICAL GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.