Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01075767A | IN |
Y | 208600000X | Surgeon | 01075767A | IN |
N | 208200000X | Surgeon | 35075304 | OH |
N | 208600000X | Surgeon | 35075304 | OH |
N | 2086S0102X | Surgical Critical Care | 01075767A | IN |
N | 2086S0102X | Surgical Critical Care | 35075304 | OH |
NPI | 1265498257 |
---|---|
Provider Name | Jonathan M Saxe |
First Address | Ellicott City, MD 21042-2040 |
Second Address | Indianapolis, IN 46260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 03/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200334360 | (05) | IN |
2089387 | (05) | OH |
E85103 | (02) |