Provider Demographics
NPI:1215991435
Name:MINOR, SARAH K (DO)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:K
Last Name:MINOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-848-8884
Mailing Address - Fax:405-713-7064
Practice Address - Street 1:13920 QUAILBROOK DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1718
Practice Address - Country:US
Practice Address - Phone:405-848-8884
Practice Address - Fax:405-713-7064
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6299207P00000X, 207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158155001Medicaid
AR5N3926972OtherMEDICARELINKED
ARH95086Medicare UPIN
AR5N3926972OtherMEDICARELINKED
AR5N392Medicare ID - Type Unspecified