Provider Demographics
NPI:1902882095
Name:ALLEY, SARAH J (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:ALLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1781 COUNTRYSIDE DR.
Mailing Address - Street 2:FAIRFIELD MEDICAL ASSOCIATES
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1186
Mailing Address - Country:US
Mailing Address - Phone:740-687-8600
Mailing Address - Fax:740-689-6608
Practice Address - Street 1:1781 COUNTRYSIDE DR.
Practice Address - Street 2:FAIRFIELD MEDICAL ASSOCIATES
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1186
Practice Address - Country:US
Practice Address - Phone:740-687-8600
Practice Address - Fax:740-689-6608
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2011-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35065511A207Q00000X
OH35065511207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0144034Medicaid
P00068396OtherRAILROAD MEDICARE
510450201028OtherCARESOURCE
000000317284OtherANTHEM
510450201028OtherCARESOURCE
OHF90937Medicare UPIN