DEMETRIOUS FARROW PA-C NPI 1598754608

NPI Information

NPI: 1598754608
Provider Name: DEMETRIOUS FARROW, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
4120 W MEMORIAL RD
STE 300
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 748-3300
Get Directions

Demetrious Farrow, PA-C is a surgical physician assistant in Oklahoma City, OK. Demetrious Farrow, PA-C NPI is 1598754608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4120 W MEMORIAL RD
STE 300
OKLAHOMA CITY, OK
ZIP 73120-322
Phone: (405) 748-3300
Fax: (405) 748-2920

The enumeration date for this NPI number is 10/20/2005 and was last updated on 6/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	1249	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	243405802	MEDICARE ID-TYPE UNSPECIFIED
2	200019520A	MEDICAID	OKLAHOMA
3	P77620	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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