DR. SAMUEL JAY PANGBURN (NPI# 1922085216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922085216 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JAY PANGBURN |
| Credential | DO |
| Practice Address |
10505 E 91st St Ste 203 Tulsa OK 74133 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
| Practice Telephone | 9183073120 |
| Practice Fax Number | 9183073121 |
| Mailing Telephone | 9184886045 |
| Mailing Fax Number | 9184886098 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 3593 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 171802501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8042 Wurzbach Rd, Ste 310, San Antonio, TX 782293818 | 2106145113 | 2106147938 |
| Street Address |
10505 E 91ST ST STE 203 |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164406682 | Mary K. Battoe | Physician Assistant | 10505 E 91st St Ste 203, Tulsa, OK 74133 | 2005-11-30 |
| 1851431316 | Steven Anthony Feher | Surgery | 10505 E 91st St Ste 203, Tulsa, OK 74133-5829 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1831540608 | Eric Waetjen | Surgery | 4502 E 51st St, 2g06, Tulsa, OK 74135-3702 | 2016-06-23 |
| 1538418504 | Daniel Kent Towsley | Surgery | 2502 E 45th St, Tulsa, OK 74105-5147 | 2012-09-05 |
| 1235420043 | Ty Douglas Kirkpatrick | Surgery | 1725 E 19th St Ste 800, Tulsa, OK 74104-5464 | 2011-04-27 |
| 1689965741 | John Skelly Watson | Surgery | 803 S Jackson Ave, Suite 130, Tulsa, OK 74127-9010 | 2011-04-25 |
| 1528386984 | William Aaron Hanner | Surgery | 5555 E 71st St Ste 7250, Tulsa, OK 74136-6554 | 2010-05-11 |
| 1316181720 | Patrick James Ross | Surgery | 6475 S Yale Ave Ste 406, Tulsa, OK 74136-7818 | 2009-04-29 |
| 1831375500 | Nicole Marie Castellese | Surgery | 1723 E 15th St Ste 100, Tulsa, OK 74104-4608 | 2008-01-12 |
| 1508063975 | Dr Richard Lee Cooper PC | Surgery | 10131 S Yale Ave Ste 200, Tulsa, OK 74137-6012 | 2007-06-29 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.