Individual provider Active NPI

Samuel Clayton Taylor, MD

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1134325988
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38547 Issued in IA
Practice address
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone
(515) 282-5773
Fax
(515) 282-2332
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38547 IA Primary

Addresses

Primary practice location

1801 Hickman Rd
Des Moines, IA 50314-1548

Mailing address

4512 Tuscany Dr
Norman, OK 73072-3455
Phone (405) 974-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000195 OK Practitioner - Family PracticePractitioner - Emergency Medicine 4688710759 Reassigns benefits to 11 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Health Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Dec 27, 2019 Accepting new patients
Exceptional Physicians Group Ardmore Hospital PLLC CurrentSince Jul 5, 2024 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Ies Oklahoma LLC CurrentSince Mar 1, 2025 Accepting new patients
Mangum City Hospital Authority CurrentSince Aug 20, 2018 Accepting new patients
Mangum City Hospital Authority CurrentSince Aug 20, 2018 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Adair County Health Center, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Arbuckle Memorial Hospital Current Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Feb 13, 2022 Accepting new patients
Adair County Health Center,Inc. Family Medicine Current Accepting new patients
Ehc Ardmore LLC Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Enchanted Desert Emergency Physicians LLC Family Medicine Past Accepting new patients

Locations

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1641 Woerz Way
Ardmore, OK 73401
Phone (436) 341-7800

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353

100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1401 W Locust St
Ste 102
Stilwell, OK 74960
Phone (918) 696-3101

1401 W Locust St
Stilwell, OK 74960
Phone (918) 696-3101

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cimarro-3728c3df

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1134325988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 TUSCANY DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723455",
            "telephone_number": "405-974-0728",
            "fax_number": "800-305-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141548",
            "telephone_number": "515-282-5773",
            "fax_number": "515-282-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SAMUEL",
        "middle_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.