SAGE HEALTH MARYLAND LLC
NPI 1770294324
Clinic/Center - Primary Care in Woodlawn, MD

NPI Status: Active since December 05, 2022

Contact Information

6660 SECURITY BLVD
WOODLAWN, MD
ZIP 21207
Phone: (443) 380-0552

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 21D2283326
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-05-2027

About SAGE HEALTH MARYLAND LLC

This page provides the complete NPI Profile along with additional information for Sage Health Maryland Llc, a primary care provider established in Woodlawn, Maryland operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1770294324 assigned on December 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is John Haskell (Chief Executive Officer)

NPI
1770294324
Provider Name
SAGE HEALTH MARYLAND LLC
Entity Type
Organization
Location Address
6660 SECURITY BLVD WOODLAWN, MD 21207
Location Phone
(443) 380-0552
Mailing Address
501 UNION ST SUITE 545 PMB 82739 NASHVILLE, TN 37219
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2022
Last Update Date
08-01-2024
Code Navigator

A primary care provider (PCP) like Sage Health Maryland Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 3541 Washington Blvd Ste 110
    Arbutus, MD 21227
    (866) 315-2626
  • 1100 E 33rd St
    Baltimore, MD 21218
    (443) 290-6514

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HASKELL

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(615) 988-9771

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2283326
Facility Type
Physician Office
Certificate Effective Date
June 06, 2025
Certificate Expiration Date
June 05, 2027
Laboratory Director
TYRONE COX JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sage Health Maryland Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SAGE HEALTH MARYLAND LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770294324
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714049834
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 8 + 3 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1770294324 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

DR. ERIC COHEN OD

Optometrist

6660 SECURITY BLVD
BALTO, MD
ZIP 21207

(410) 944-8020

ERIC COHEN

Optometrist

6660 SECURITY BLVD
BALTIMORE, MD
ZIP 21207

(410) 944-8020

MYEYEDR OPTOMETRY OF MARYLAND, LLC

Optometrist

6660 SECURITY BLVD
8
BALTIMORE, MD
ZIP 21207

(443) 520-5708

AMIT BABRA MD

Family Medicine

6660 SECURITY BLVD
WOODLAWN, MD
ZIP 21207

(443) 380-0552

MS. CYNTHIA DENISE BROADNAX MSN, CRNP

Nurse Practitioner

(Family)

6660 SECURITY BLVD
WOODLAWN, MD
ZIP 21207

(443) 380-0552

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770294324, enumerated as an "organization" on December 05, 2022.

The provider is located at 6660 SECURITY BLVD WOODLAWN, MD 21207 and the phone number is (443) 380-0552.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.