Active NPI
Peter Sarfatis, MD
- Surgery Physician
- Pryor, OK
National Provider Identifier
1780607705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9108
- Practice address
- 109 N Fairland St
Suite 108
Pryor, OK 74361-4228 - Phone
- (918) 825-2070
- Fax
- (918) 825-0231
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9108 | OK | Primary |
Addresses
Primary practice location
109 N Fairland St
Suite 108
Pryor, OK 74361-4228
Mailing address
109 N Fairland St
Ste 108
Pryor, OK 74361-4228
Phone (918) 825-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254060A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9108 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Henryetta Hospital LLC | Past | Accepting new patients |
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.
-
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1780607705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N FAIRLAND ST",
"address_2": "STE 108",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614228",
"telephone_number": "918-825-2070",
"fax_number": "918-825-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N FAIRLAND ST",
"address_2": "SUITE 108",
"city": "PRYOR",
"state": "OK",
"postal_code": "743614228",
"telephone_number": "918-825-2070",
"fax_number": "918-825-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARFATIS",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "9108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100254060A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.