Sage Dermatology and Mohs Surgery, LLC
NPI 1841065463ActiveOrganization· Dermatology· Draper, UT
Dermatology in Draper, Utah, registered in NPPES in November 2023. The authorized official on file is Angela Brimhall, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841065463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2023 |
| Last updated in NPPES | Dec 15, 2023 |
| Certified by provider | Dec 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Dermatology providers in Draper
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