Basic Information
| Provider Information | |||||||||
| NPI: | 1821285750 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAFT | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 955 BETHESDA DR | ||||||||
| Address2: | STE D | ||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404543273 | ||||||||
| FaxNumber: | 7405881081 | ||||||||
| Practice Location | |||||||||
| Address1: | 2854 BELL ST | ||||||||
| Address2: | |||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404543273 | ||||||||
| FaxNumber: | 7405881081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2007 | ||||||||
| LastUpdateDate: | 12/16/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/16/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 50.002665 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 0074595 | 05 | OH | MEDICAID |