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

Samuel Kimbrough, PA-C

Individual provider Medical Physician Assistant · NPI 1265134498

Samuel Kimbrough, PA-C is a Physician Assistant in Edmond, Oklahoma. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2023, 3 years ago. Practices with Oklahoma Arthritis Center, PC, a 45-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of North Texas Hsc, College of Osteopathic Med
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 Renaissance Blvd Ste 110
Edmond, OK 73013-3084
Phone: (405) 844-4978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1265134498
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address301 N Walker Ave Apt 8101, Oklahoma City, OK 73102-1871

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2023 (3 years in practice)
Group practice Oklahoma Arthritis Center, P.C. — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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