1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAMUEL GORDON HEGEMAN
NPI 1073465696
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since February 14, 2026
1111 W 17TH ST, TULSA, OK 74107(405) 320-4815 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Gordon Hegeman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL GORDON HEGEMAN (NPI 1073465696) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1073465696
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL GORDON HEGEMAN
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address24702 May AveBlanchard, OK 73010-4852 · (405) 320-4815
Phone(405) 320-4815
Sole ProprietorYes
Enumeration DateFebruary 14, 2026
NPPES CertifiedFebruary 14, 2026
✔ NPI 1073465696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1111 W 17TH ST, Tulsa, OK 74107
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Hegeman's NPI number?

The NPI number for Samuel Hegeman is 1073465696. It was assigned to this individual provider in the NPPES registry on February 14, 2026.

Where is Samuel Hegeman located?

Samuel Hegeman practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (405) 320-4815.

What is Samuel Hegeman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Hegeman was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.