S Bar D, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18074 Issued in OK

Legal business name

S BAR D, INC.

Practice address

109 N Fairland St Ste 109
Pryor, OK 74361-4225

Phone

(918) 825-3107

Fax

(918) 825-3128

NPI assigned

Apr 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristi Rene Fink

Title

Office Manager

Phone

(918) 825-3107

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Leroy Dill, MD

  • Family Medicine Physician
  • Pryor, OK
  • NPI 1104854876

  Family Medicine, OK

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1235302555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST STE 109",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614225",
            "telephone_number": "918-825-3107",
            "fax_number": "918-825-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST STE 109",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614225",
            "telephone_number": "918-825-3107",
            "fax_number": "918-825-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S BAR D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-825-3107"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "18074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104854876",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "446604203006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe Beth Rosebrough, MA, RD
• Alyssa Roybal
• Dawn Renee Rush
• Lacey Nicole Rutzer, RN
• Caleb Rylee
• Anita K Sanders, LADC, BHP
• Peter Sarfatis, MD
• Lisa Scantlen
• Scarbow Lake Emergency Physicians LLC
• Wendi Schaffitzel, PT, CHT

• Family Medicine Physician in Pryor, OK
• Providers in Pryor, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.