Provider Demographics
NPI:1558593848
Name:KARPUK, SARA HELEN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:HELEN
Last Name:KARPUK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:HELEN
Other - Last Name:GRACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:801 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1326
Mailing Address - Country:US
Mailing Address - Phone:712-279-2950
Mailing Address - Fax:712-279-2947
Practice Address - Street 1:801 5TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1326
Practice Address - Country:US
Practice Address - Phone:712-279-2950
Practice Address - Fax:712-279-2947
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0003505363A00000X
FLPA9105082363A00000X
IA075486363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001383600Medicaid
CO42575761Medicaid
CO263557YLB8Medicare PIN
CO290078YLB8Medicare PIN
FLCG819ZMedicare Oscar/Certification