Sarah Marlene Shade, ATC, NREMT is a
Specialist/technologist - Athletic Trainer physician based in Millcreek, Utah. Sarah Marlene Shade is licensed to practice in Ohio (license number AT006365) and her current practice location is 2940 S 2300 E, Millcreek, Utah. She can be reached at her office (for appointments etc.) via phone at
(614) 600-4392.
NPI number for Sarah Marlene Shade is 1467081588 and her current mailing address is 2940 S 2300 E, Millcreek, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467081588.
Physician's Profile
Full Name | Sarah Marlene Shade |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 2940 S 2300 E, Millcreek, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467081588
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Sarah Marlene Shade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467081588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 2023038475 (Utah) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 12945874-4810 (Utah) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 004879 (New York) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT006365 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sarah Marlene Shade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sarah Marlene Shade, ATC, NREMT 2940 S 2300 E, Millcreek, UT 84109-1924 Ph: (614) 600-4392 | Sarah Marlene Shade, ATC, NREMT 2940 S 2300 E, Millcreek, UT 84109-1924 Ph: (614) 600-4392 |
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