Sarah Brooke Pinson, P.A.
Individual provider Active NPI Physician Assistant · Bristow, OK
NPI 1407978653 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1407978653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1622 (OK)
- Practice address
- 700 W 7TH Ave
Ste 101
Bristow, OK 74010-2302 - Phone
- (918) 367-3272
- Fax
- (918) 367-5275
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1622 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1622 | OK | Yes |
Addresses
Primary practice location
700 W 7TH Ave
Ste 101
Bristow, OK 74010-2302
Mailing address
700 W 7TH Ave
Ste 101
Bristow, OK 74010-2302
Phone (918) 367-3272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200100700P | Medicaid | OK | |
| 200110220A | Medicaid | OK |
Other providers in Bristow, OK
- Jay Wade Pettit
- Pharmology Bristow LLC
- Physicians Choice Dialysis of Bristow LLC
- Physicians Pathology Inc
- Kaley Pieratt
- Rainbow Health Care
- Rainbow Management LLC
- Letha Virginia Ray
- Jason Dean Remington
- Whitney Richison
All providers in Bristow, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.