Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel Jay Pangburn, DO

Individual provider Surgery Physician · NPI 1922085216

Dr. Samuel Jay Pangburn, DO is a General Surgery in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 1997, 29 years ago. Practices with Warren Clinic Inc, a 772-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
29
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10505 E 91st St Ste 203
Tulsa, OK 74133
Phone: (918) 307-3120
Fax: (918) 307-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8042 Wurzbach Rd, San Antonio, TX 78229-3818 — (210) 614-5113

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 3593 (OK)

Record details

NPI number1922085216
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address6600 S Yale Ave Ste 14000, Tulsa, OK 74136-3347

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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