Samuel Jellison, DO
Samuel Jellison, DO is a provider specialising in Student in an Organized Health Care Education/Training Program in Tulsa, OK, registered under NPI 1891371373. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 717 S HOUSTON AVE FL 3, Tulsa, OK 74127. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 7750 | OK | Neuroradiology Physician |
| 7750 | OK | Diagnostic Radiology Physician |
This provider holds licence 7750 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Student in an Organized Health Care Education/Training Program covers
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | primary |
| 2085N0700X | Neuroradiology Physician Neuroradiology | 7750 | OK | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 7750 | OK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1891371373 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 23, 2021 |
| Last updated | May 22, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
717 S HOUSTON AVE FL 3 Tulsa, OK 74127 (918) 382-3535 Fax (918) 382-3559 |
| Mailing address |
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333 Charleston, SC 29425 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 9 | 1 | 3 | 7 | 1 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 9 | 1 | 6 | 7 | 2 | 3 | 5 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.