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Tonya Sample

Specialist in Miami, OK. Individual provider (NPI-1).

NPI number1487848552
StatusActive
Last updated in NPPESAug 31, 2007

Details

NPI
1487848552
Entity type
Individual (NPI-1)
Name
Tonya Sample
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2007
Last updated
Aug 31, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

120 S Treaty Rd
Miami, OK 74354-5326

Phone 918-540-1511 · Fax 918-542-7374

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist providers in Miami, OK

All 6 Specialist providers in Miami · All 681 providers in Miami

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