Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Sara Renee Hattaway, PA-C

Individual provider Medical Physician Assistant · NPI 1093086548

Mrs. Sara Renee Hattaway, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2011, 15 years ago. Practices with Ies ER Oklahoma LLC, a 128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
15
Licensed in
OK
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6475 S Yale Ave Ste 401
Tulsa, OK 74136-7818
Phone: (918) 502-9555
Fax: (918) 502-9559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6161 S Yale Ave, Tulsa, OK 74136-1902 — (918) 502-3943

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2105 (OK)

Record details

NPI number1093086548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2012
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ies Er Oklahoma Llc — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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