Active NPI
Samuel Epp, PA-C
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1053101980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6213
- Practice address
- 6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929 - Phone
- (918) 494-8500
- Fax
- (918) 307-5578
- NPI assigned
- May 12, 2025
- Last updated
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6213 | OK | Primary |
Addresses
Primary practice location
6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929
Mailing address
6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1053101980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1200",
"city": "TULSA",
"state": "OK",
"postal_code": "741363333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 S YALE AVE STE 100A",
"city": "TULSA",
"state": "OK",
"postal_code": "741361929",
"telephone_number": "918-494-8500",
"fax_number": "918-307-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPP",
"first_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-12",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "6213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.