Mrs. Sara Parr
Physician Assistant (Medical)

Address: 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3086
Phone: 4058444978

Mrs. Sara Parr (NPI# 1710124391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1710124391
Entity Type Individual
Full Name Mrs. Sara Parr
Credential PA
Gender Female
Practice Address 1701 Renaissance Blvd
Ste 110
Edmond
OK 73013-3086
Practice Telephone 4058444978
Practice Fax Number 4058440562
Mailing Address 4401 W Memorial Rd
Suite 140
Oklahoma City
OK 73134-1785
Mailing Telephone 4057523162
Mailing Fax Number 4059365211
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-01-19
Last Update Date 2014-05-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers

Other Providers SARA PARR

NPI Name Taxonomy Address Enumeration
1942793716 Sara E Parr Behavior Technician 632 Eastern Blvd, Clarksville, IN 47129-2454 2018-06-07

Physician Overview

NPI 1710124391
PAC ID by PECOS 5991861486
Professional Enrollment ID I20090309000270
Full Name Sara M Parr
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4059365910
Gender F
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1153468921
Number of Group Practice Members 417
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

Office Location

Street Address 1701 RENAISSANCE BLVD
STE 110
City EDMOND
State OK
Zip Code 73013-3086

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215905971 Ana Kumar Internal Medicine 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013 2006-03-09
1578069407 Shawna Diane Seelbach Nurse Practitioner 1701 Renaissance Blvd, Edmond, OK 73013-3086 2018-03-31
1700248101 Emily John Physician Assistant 1701 Renaissance Blvd, Edmond, OK 73013-3086 2016-03-24
1225498603 Brian Shawn Mccullough Pharmacist 1701 Renaissance Blvd, Ste. 120, Edmond, OK 73013-3086 2016-02-29
1023488913 Sheril Mathew Clinical Nurse Specialist 1701 Renaissance Blvd, Edmond, OK 73013-3086 2015-10-05
1861535908 Linda Ann Zacharias Internal Medicine 1701 Renaissance Blvd, Edmond, OK 73013-3086 2007-02-15
1609939255 Jennifer Marie Fay Damitsian Nurse Practitioner 1701 Renaissance Blvd, Ste 110, Edmond, OK 73013-3084 2006-12-18
1174558738 Sharon P Bolton Physician Assistant 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3086 2006-07-12
1043288673 Craig W Carson Internal Medicine 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3084 2006-03-09
1528036019 Oklahoma Arthritis Center, P.C. Internal Medicine 1701 Renaissance Blvd, Suite 110, Edmond, OK 73013-3084 2006-03-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205305737 Transit Medical Team LLC In Home Supportive Care 11824 Splash Pine Dr, Edmond, OK 73013 2018-11-14
1578031571 Oklahoma Wellness Group LLC Internal Medicine 14101 North Esatern Avenue Suite B, Edmond, OK 73013 2018-11-07
1235612235 Balance Medical, Pllc Nurse Practitioner 849 E 33rd Street, Suite 201, Edmond, OK 73013 2018-09-14
1477034395 Specialty Care Pediatrics, Inc. Home Health 2256 Nw 164th Street, Edmond, OK 73013 2018-08-28
1417460577 Oklahoma Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 15103 N Macarthur Blvd, Oklahoma City, OK 73013 2017-11-13
1356879753 Shawn Smith Optimal Pt and Performance, Pllc Physical Therapist 336 Ne 145th Pl, Edmond, OK 73013 2017-05-30
1396279808 Teal Creek Life Care Community Inc Assisted Living Facility 13501 N. Bryant Ave., Edmond, OK 73013 2017-04-12
1265972822 Sara Buster Nurse Practitioner 2801 E Memorial Rd Ste 140, Edmond, OK 73013 2017-03-01
1245776426 Iliana Paulina Aguilar Escamilla Dietitian, Registered 2237 Nw 157th St, Edmond, OK 73013 2017-01-12
1922555994 Catherine Rose Haikin Chiropractor 1751 W 33rd St, Suite 130, Edmond, OK 73013 2016-09-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568884047 Bethany J Triana Physician Assistant 3863 South Boulevard, #200, Edmond, OK 73013-5540 2014-01-17
1326312661 Stephani Lynn Jones Physician Assistant 305 S Bryant Ave, Suite 110, Edmond, OK 73034-5726 2012-03-05
1619268901 Andrea Michelle Wray Physician Assistant 2017 W I 35 Frontage Rd Ste 130, Edmond, OK 73013-8554 2011-04-21
1881886851 Dana S Cortez Physician Assistant 925 W I 35 Frontage Rd Ste 100, Edmond, OK 73034-7399 2007-08-14
1649329996 Crystal Hope Fredrickson Physician Assistant 3863 S Boulevard, Edmond, OK 73013-5540 2007-01-09
1508807520 Tommy Dean Camp Physician Assistant 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 2006-06-09
1033562673 Scott Nicholson Physician Assistant 1 S Bryant Ave, Edmond, OK 73034-6309 2016-07-19
1700248101 Emily John Physician Assistant 1701 Renaissance Blvd, Edmond, OK 73013-3086 2016-03-24
1083072185 Rosa J. Rios Physician Assistant 4801 Integris Pkwy, Edmond, OK 73034-8864 2016-02-03
1316319817 Shelby Rae Stephens Physician Assistant 65 S Saints Blvd, Edmond, OK 73034-3051 2015-10-22
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Competitor

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City EDMOND
Zip Code 73013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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