Provider Demographics
NPI:1629250725
Name:O'KIER, SARAH G (PA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:G
Last Name:O'KIER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:G
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1500 SE 17TH ST
Mailing Address - Street 2:BLDG 200
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4621
Mailing Address - Country:US
Mailing Address - Phone:352-351-0060
Mailing Address - Fax:352-351-4130
Practice Address - Street 1:1500 SE 17TH ST
Practice Address - Street 2:BLDG 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4621
Practice Address - Country:US
Practice Address - Phone:352-351-0060
Practice Address - Fax:352-351-4130
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05580363A00000X
363A00000X
FLPA9103890363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K7030Medicare Oscar/Certification
TX8K1271Medicare Oscar/Certification