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SAMUEL GLEN ERICKSON MD NPI 1154060762


NPI Information

NPI: 1154060762
Provider Name: SAMUEL GLEN ERICKSON, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Address:
800 STANTON L YOUNG BLVD
AAT 1464
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-5504
Get Directions

Samuel Glen Erickson, MD is an otolaryngology in Oklahoma City, OK. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Samuel Glen Erickson, MD NPI is 1154060762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 STANTON L YOUNG BLVD
AAT 1464
OKLAHOMA CITY, OK
ZIP 73104-018
Phone: (405) 271-5504

The enumeration date for this NPI number is 6/1/2022 and was last updated on 7/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck39489OKLAHOMANo
2207Y00000XOtolaryngology39489OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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