Look up the most recent NPI and PECOS records

Sara Dorris

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4760 Belpar St NW, Canton, OH 44718-3603

PECOS Enrollment

Based on the most recent information from CMS, provider Sara Dorris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1174930986
Provider Type
Individual
Full Name
Dorris, Sara
Title
Mrs.
Credential
NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/14/2014
Last Updated
7/21/2021

Contact Information

Practice Location

4760 Belpar St NW, Canton, OH 44718-3603

(330) 492-9200

Unlisted Fax

Mailing Location

1055 Stratford Pl, Alliance, OH 44601-3601

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 16193-NP Ohio

Sara Dorris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rice, Sydney Jane

Kaput, Inglish

Baldwin, Carmen

Trent, Elizabeth

Hagi, Denaye

Mcclain, Brittany

Fries, Laura H

Gordon, Marian Kathleen

Buckeye, Ashley

Berg, Melissa