NPI 1992193676 · live from the CMS NPI Registry
Samuel Isaac Bethea, PA-C
Physician Assistant in Claremore, OK. National Provider Identifier 1992193676, active.
NPI record
| NPI | 1992193676 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1071 W Blue Starr Dr Ste 105, Claremore, OK 74017 |
| Practice phone | 918-361-0600 |
| Mailing address | 2488 E 81st St Ste 290, Tulsa, OK 74137 |
| Enumerated | January 2, 2015 |
| Last updated | August 11, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 2431 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.