Active NPI
Tyler Tate Bay, AU.D.
- Audiologist
- Lawton, OK
National Provider Identifier
1083816490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 284
- Practice address
- 1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002 - Phone
- (580) 354-5115
- Fax
- (580) 354-5118
- NPI assigned
- Jun 5, 2007
- Last updated
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 284 | OK | Primary |
Addresses
Primary practice location
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Mailing address
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone (580) 354-5115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawton Indian Hospital | Current | Accepting new patients |
Locations
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1083816490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 NE LAWRIE TATUM RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073099",
"telephone_number": "580-354-5115",
"fax_number": "580-354-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NE LAWRIE TATUM RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073002",
"telephone_number": "580-354-5115",
"fax_number": "580-354-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAY",
"first_name": "TYLER",
"middle_name": "TATE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.