Individual provider Active NPI

Sasipha Pahamark, APRN

  • Family Nurse Practitioner
  • Norman, OK
National Provider Identifier
1780164566
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08180235 Issued in OK
Practice address
2781 Washington Dr #101
Norman, OK 73069-1001
Phone
(405) 857-8880
Fax
(405) 279-0285
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08180235 OK Primary

Addresses

Primary practice location

2781 Washington Dr #101
Norman, OK 73069-1001

Mailing address

2781 Washington Dr #101
Norman, OK 73069-1001
Phone (405) 857-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122001501 OK Practitioner - Nurse Practitioner 2163769647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Family Health CareGroup PAC ID 3779993126, 2 clinicians

Practice addresses (Care Compare)

2781 Washington Dr
Suite 101
Norman, OK 73069-1001
Phone (405) 857-8880

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08180235OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Health Care CurrentSince Nov 15, 2020 Accepting new patients

Locations

2781 Washington Dr
#101
Norman, OK 73069
Phone (405) 749-2765

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1780164566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 WASHINGTON DR #101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691001",
            "telephone_number": "405-857-8880",
            "fax_number": "405-279-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 WASHINGTON DR #101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730691001",
            "telephone_number": "405-857-8880",
            "fax_number": "405-279-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHAMARK",
        "first_name": "SASIPHA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F08180235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.