Healthcare Provider Details

I. General information

NPI: 1518606771
Provider Name (Legal Business Name): SARAH HOOPER GRGURICH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH GALE HOOPER PA

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 NW EXPRESSWAY
OKLAHOMA CITY OK
73112-4999
US

IV. Provider business mailing address

3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY OK
73134-2640
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-3349
  • Fax: 405-945-5467
Mailing address:
  • Phone: 405-949-3349
  • Fax: 405-945-5467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number4807
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: