Samuel Spencer Jellison, DO
NPI 1891371373ActiveIndividual· Student in an Organized Health Care Education/Training Program· Tulsa, OK
Student in an Organized Health Care Education/Training Program (DO) in Tulsa, Oklahoma, trained at Oklahoma State University College of Osteopathic Medicine (class of 2021). Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology.
Overview
| NPI | 1891371373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 23, 2021 |
| Last updated in NPPES | May 22, 2026 |
| Certified by provider | May 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
| Radiology, Neuroradiology | 2085N0700X | 7750 | OK |
| Radiology, Diagnostic Radiology | 2085R0202X | 7750 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (OK); Practitioner - Diagnostic Radiology (SC); Practitioner - Diagnostic Radiology (TX) |
|---|
Education and affiliations
| Medical school | Oklahoma State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Creek Nation Hospital and ClinicsOkmulgee, OK · 365 clinicians
- Diagnostic Imaging Associates IncHouston, TX · 87 clinicians
Hospital affiliations
- Alliancehealth DurantDurant, OK
- Northeastern Health SystemTahlequah, OK
- Saint Francis Hospital MuskogeeMuskogee, OK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 1,718 Student in an Organized Health Care Education/Training Program providers in Tulsa · All Student in an Organized Health Care Education/Training Program providers in Oklahoma