MEDICARE: SARAH N BOX PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5887	OK

General Provider Information

NPI Number	:	1376476614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH N BOX PA-C

Provider Business Mailing Address
First Line	:	2610 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3712
Country	:	US
Telephone Number	:	405-761-6599
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 SW 89TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9104
Country	:	US
Telephone Number	:	405-814-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ SARAH N BOX PA-C” Practice Location

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