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

Samuel Lyle Hague, MD

Individual provider Family Medicine Physician · NPI 1528064763

Samuel Lyle Hague, MD is an Emergency Medicine in Blackwell, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2001, 25 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
25
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1009 W Ferguson Ave
Blackwell, OK 74631-5602
Phone: (580) 363-0052
Fax: (580) 363-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22530 (OK)

Record details

NPI number1528064763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESMarch 25, 2008

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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