Individual provider Active NPI

Taylor Waugh, DO

  • Family Medicine Physician
  • Cherokee, OK
National Provider Identifier
1124656343
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7355 Issued in OK
Practice address
405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone
(580) 596-2800
Fax
(580) 596-2805
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Salt Plains Health Center Inc 23 clinicians

Practice addresses (Care Compare)

231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800

Hospital & facility affiliations

  • Share Medical Center Hospital, Alva, OK, CCN 371341
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220718001914 TX Practitioner - Family Practice 9739560095 Reassigns benefits to 1 organization
I20230712001797 OK Practitioner - Osteopathic Manipulative Medicine 9739560095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7355OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Apr 29, 2022 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince May 29, 2023 Accepting new patients
Cherokee Nation CurrentSince Apr 29, 2022 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince May 29, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients

Locations

310 E Walnut
Canton, OK 73724
Phone (580) 886-2200

405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012

1106 E Broadway Ave
Enid, OK 73701
Phone (580) 886-2200

5320 W Chestnut Ave
Enid, OK 73703
Phone (580) 233-2900

231 S 30th St
Enid, OK 73701
Phone (580) 233-2900

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

619 N Front St
Medford, OK 73759
Phone (580) 395-3200

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7355 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

405 S Oklahoma Ave
Cherokee, OK 73728-2545

Mailing address

405 S Oklahoma Ave
Cherokee, OK 73728-2545
Phone (580) 596-2800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2025.

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1124656343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S OKLAHOMA AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282545",
            "telephone_number": "580-596-2800",
            "fax_number": "580-596-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S OKLAHOMA AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282545",
            "telephone_number": "580-596-2800",
            "fax_number": "580-596-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "TAYLOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, OK

Sources for this page

Verify at the official NPI Registry.