DR. SAMUEL JAY PANGBURN


Address: 10505 E 91st St Ste 203, Tulsa, OK 74133
Phone: 9183073120

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 3593 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 171802501 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8042 Wurzbach Rd, Ste 310, San Antonio, TX 782293818 2106145113 2106147938

Office Location

Street Address 10505 E 91ST ST STE 203
City TULSA
State OK
Zip Code 74133

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TULSA
Zip Code 74133

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Dataset Information

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.

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