Dr. Samuel Jay Pangburn, DO
Dr. Samuel Jay Pangburn is a Surgery Physician provider (Surgery) practicing in Tulsa, OK, registered in the NPPES registry with NPI 1922085216 since 2005. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922085216 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Samuel Jay Pangburn |
| Credential | DO |
| Sex | Male |
| Practice address | 10505 E 91ST ST STE 203, Tulsa, OK, 74133 |
| Phone | 9183073120 |
| Fax | 9183073121 |
| Enumeration date | 2005-12-28 |
| Last updated in NPPES | 2023-03-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 3593 | OK |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096880A | Medicaid | OK | — |
| 171802501 | Medicaid | TX | — |
Copy-ready billing details
Provider: Samuel Pangburn, DO NPI: 1922085216 Taxonomy: 208600000X (Surgery Physician) Address: 10505 E 91ST ST STE 203, Tulsa, OK, 74133
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851431316 | Steven Feher | Individual | Surgery Physician | Tulsa, OK |
| 1679074132 | Cassandra Riddle | Individual | Surgery Physician | Tulsa, OK |
| 1891313169 | Georgina Mishkin | Individual | Physician Assistant | Tulsa, OK |
Verify this record
Cross-check NPI 1922085216 against the authoritative CMS record: view Dr. Samuel Jay Pangburn on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-28.