SARA JEAN ENYART (NPI# 1528363827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528363827 |
| Entity Type | Individual |
| Full Name | SARA JEAN ENYART |
| Other Name | SARA UPDIKE |
| Credential | PA-C |
| Practice Address |
10512 N 110th East Ave Ste 100 Owasso OK 74055-6638 |
| Practice Telephone | 9183768149 |
| Practice Fax Number | 9183768410 |
| Mailing Telephone | 9183768410 |
| Mailing Fax Number | 9183768839 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1993 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200319280A | 05 |
| Street Address |
10512 N 110TH EAST AVE STE 100 |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428098 | Jon Everard Orjala | Specialist | 10512 N 110th East Ave, Ste 220, Owasso, OK 74055-6638 | 2005-09-27 |
| 1043714587 | Tracy Lee Foster | Registered Nurse | 10512 N 110th East Ave, Owasso, OK 74055 | 2018-03-20 |
| 1972014439 | Elizabeth A. Tooley | Dietitian, Registered | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2017-10-23 |
| 1326468224 | Tyler Gregory Ellington | Internal Medicine | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2014-04-18 |
| 1386981413 | Karin Annette Beals | Nurse Practitioner | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2013-01-09 |
| 1275822926 | Bryan Terry Smedley | Otolaryngology | 10512 N 110th East Ave, Suite 210, Owasso, OK 74055-6636 | 2011-04-04 |
| 1689802605 | Injury Prevention Solutions, Inc. | Clinic/Center | 10512 N 110th East Ave, Suite 150, Owasso, OK 74055-6636 | 2009-06-29 |
| 1477789923 | Kelly Dawn Stemm | Nurse Practitioner | 10512 N 110th East Ave, Suite 100, Owasso, OK 74055-6655 | 2009-06-10 |
| 1427233535 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 10512 N 110th East Ave, Suite 150a, Owasso, OK 74055-6636 | 2008-01-08 |
| 1184818221 | J Kirk & Company P C | Surgery | 10512 N 110th East Ave, Suite 100, Owasso, OK 74055-6636 | 2007-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619937 | Alexandria Youree Glendenning | Physician Assistant | 15218 E 90th Ct N, Owasso, OK 74055-8524 | 2019-10-08 |
| 1922508266 | Codi Nicole Castleberry | Physician Assistant | 11426 N 134th East Ave, Owasso, OK 74055-4715 | 2018-02-13 |
| 1710926886 | Rebecca L Lynch | Physician Assistant | 12410 E 86th St N, Owasso, OK 74055-2500 | 2006-06-05 |
| 1710979018 | Sarah E Kelly | Physician Assistant | 12455 E 100th St N Ste 120, Owasso, OK 74055-4675 | 2005-08-22 |
| 1215553631 | Kassidy Hamilton | Physician Assistant | 9003 N Garnett Rd, Owasso, OK 74055-4495 | 2020-06-22 |
| 1891328118 | Bethany Leann Beachel | Physician Assistant | 9003 N Garnett Rd, Owasso, OK 74055-4495 | 2020-02-14 |
| 1891337796 | Kelsey Louise Williams | Physician Assistant | 12455 E 100th St N Ste 350, Owasso, OK 74055-4675 | 2019-10-11 |
| 1649715814 | Tuan Phat Huynh | Physician Assistant | 12410 E 86th St N, Owasso, OK 74055-2500 | 2016-12-27 |
| 1346639176 | Madeline Anne Penner | Physician Assistant | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8731 | 2015-01-16 |
| 1962824433 | Laura Corbin | Physician Assistant | 12455 E 100th St N, Ste 350, Owasso, OK 74055-4674 | 2014-01-17 |
| Find all providers in OWASSO | ||||
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| 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.