Active NPI
Samuel Keith Laney II, MD
- Physical Medicine & Rehabilitation Physician
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35567
- Practice address
- 300 Rockefeller Dr
Muskogee, OK 74401-5075 - Phone
- (918) 502-1900
- Fax
- (918) 494-6303
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 7, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036163297 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 57430 | MN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01083262 | IN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 44994 | CO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 35567 | OK | Primary |
Addresses
Primary practice location
300 Rockefeller Dr
Muskogee, OK 74401-5075
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 499-4855
Other practice location 1
10501 E 91st St
Tulsa, OK 74133-5790
Phone (918) 684-6320
Other practice location 2
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 684-6320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123552400 | Medicaid | WY | |
| LA801107 | Other | CO | ANTHEM BCBS |
| P00382506 | Other | RAILROAD MEDICARE | |
| 10603719 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, IA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Wisconsin, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2187
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036163297 | IL | MD | Physical Medicine & Rehabilitation Physician |
| 01083262 | IN | MD | Physical Medicine & Rehabilitation Physician |
| 35567 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Warren Clinic Inc | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Past | Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
Interoperability endpoints
- slaney280994@direct.saintfrancis.com
- slaney368907@ahs.direct-ci.com
- slaney68113@sih.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Physical Medicine & Rehabilitation Physician
- Des Moines, IA
- NPI 1235676412
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Rehabilitation Hospital Unit
- Muskogee, OK
- NPI 1306381561
-
- Primary Care Nurse Practitioner
- Bullard, TX
- NPI 1306570593
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Muskogee, OK
- NPI 1306381561
Inpatient rehabilitation facility
-
dba Saint Francis Hospital Muskogee
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1861590358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "918-499-4855",
"fax_number": "918-488-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-502-1900",
"fax_number": "918-494-6303"
}
],
"practiceLocations": [
{
"address_1": "10501 E 91st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741335790",
"country_code": "US",
"telephone_number": "918-684-6320",
"fax_number": "918-684-2196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6161 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741361902",
"country_code": "US",
"telephone_number": "918-684-6320",
"fax_number": "918-684-2196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANEY",
"first_name": "SAMUEL",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036163297",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "57430",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01083262",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "44994",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "35567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123552400",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "LA801107",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00382506",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10603719",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.