Active NPI
Tracy Lynn Pyles, M.D.
- Family Medicine Physician
- Cushing, OK
National Provider Identifier
1134197205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15684
- Practice address
- 1030 E Cherry
Cushing, OK 74023-4102 - Phone
- (918) 225-0616
- Fax
- (918) 225-3740
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15684 | OK | Primary |
Addresses
Primary practice location
1030 E Cherry
Cushing, OK 74023-4102
Mailing address
1030 E Cherry
Cushing, OK 74023-4102
Phone (918) 225-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100161100A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1134197205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 E CHERRY",
"city": "CUSHING",
"state": "OK",
"postal_code": "740234102",
"telephone_number": "918-225-0616",
"fax_number": "918-225-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 E CHERRY",
"city": "CUSHING",
"state": "OK",
"postal_code": "740234102",
"telephone_number": "918-225-0616",
"fax_number": "918-225-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLES",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "15684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100161100A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.