Provider Demographics
NPI:1588209423
Name:SCARBOROUGH, MURPHI E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MURPHI
Middle Name:E
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MURPHI
Other - Middle Name:E
Other - Last Name:SPARKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2029 NW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-1907
Mailing Address - Country:US
Mailing Address - Phone:405-623-8505
Mailing Address - Fax:
Practice Address - Street 1:781 GRAND CASINO BLVD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-1005
Practice Address - Country:US
Practice Address - Phone:405-695-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3123363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant