Provider Demographics
NPI:1972319242
Name:WARD, SARAH CATHERINE (PA-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:CATHERINE
Last Name:WARD
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:CATHERINE
Other - Last Name:BAUDENDISTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1211 UNION AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1211 UNION AVE STE 300
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6655
Practice Address - Country:US
Practice Address - Phone:901-272-6018
Practice Address - Fax:901-201-4203
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TN6387363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant