Samuel J. Pangburn, D.O., PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M0211 Issued in TX

Legal business name

SAMUEL J. PANGBURN, D.O., PA

Practice address

610 Strickland Dr
Suite 190
Orange, TX 77630-4786

Phone

(409) 883-4600

Fax

(409) 883-4633

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Jay Pangburn, D.O.NPI 1922085216

Title

Owner

Phone

(409) 883-4600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Jay Pangburn, DO

  • Surgery Physician
  • Tulsa, OK
  • NPI 1922085216
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1265620371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR",
            "address_2": "SUITE 190",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304786",
            "telephone_number": "409-883-4600",
            "fax_number": "409-883-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR",
            "address_2": "SUITE 190",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304786",
            "telephone_number": "409-883-4600",
            "fax_number": "409-883-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J. PANGBURN, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "PANGBURN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-883-4600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M0211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacie Ross, FNP-C
• Valen Elliott Ross, DDS
• Rudeseal Chiropractic Clinic, Inc.
• Ronald Wayne Rudeseal, DC
• William Martin Rutledge Jr., MD
• Tanya Sanders
• Jerry D Sanford, D.C.
• Felipe Antonio Sarda, MD
• Molly Margaret Schilling, NP
• Angela Brignac Schram, HIS

• Surgery Physician in Orange, TX
• Providers in Orange, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.