Provider Demographics
NPI:1346258175
Name:THURMAN, SARAH ALLEN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALLEN
Last Name:THURMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:200 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-7764
Practice Address - Country:US
Practice Address - Phone:507-422-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN70818207SG0201X
SC517042085R0001X
ME0164722085R0001X, 2085R0203X
VA01012704152085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205362Medicaid
ME410550099Medicaid
MEAA16927OtherHPHC
P01310573OtherRR MEDICARE
ME022937OtherANTHEM
RIST68638Medicaid
ME0007065597OtherAETNA/USHC
MEM108758OtherCIGNA
MA110003284AMedicaid
ME3560199OtherAETNA
MA110003284AMedicaid
RIST68638Medicaid