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

Dr. Samuel Spencer Jellison, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891371373

Dr. Samuel Spencer Jellison, DO is a Diagnostic Radiology in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2021, 5 years ago. Licensed in Oklahoma.

Years since qualifying
5
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2021
Specialties on file
3
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.

See every abbreviation used in this directory →

Practice location Address checks out

717 S Houston Ave Fl 3
Tulsa, OK 74127-9023
Phone: (918) 382-3535
Fax: (918) 382-3559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Neuroradiology Physician Taxonomy 2085N0700X · Licence 7750 (OK)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 7750 (OK)

Record details

NPI number1891371373
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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