Active NPI
Samuel Clayton Taylor, MD
- Family Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38547
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adair County Health Center, Inc. | Current | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Current | Accepting new patients | |
| Exceptional Physicians Group Ardmore Hospital PLLC | Current | Accepting new patients | |
| Southern Plains Medical Center of Garvin County LLC | Current | Accepting new patients | |
| Ies Oklahoma LLC | Current | Accepting new patients | |
| Mangum City Hospital Authority | Current | Accepting new patients | |
| Mangum City Hospital Authority | Current | Accepting new patients | |
| Southern Plains Medical Center of Garvin County LLC | Current | Accepting new patients | |
| Adair County Health Center, Inc. | Current | Accepting new patients | |
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Choctaw County City of Hugo Hospital Authority | Current | 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
- 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.
-
- Medical Specialty Clinic/Center
- Stilwell, OK
- NPI 1972780765
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- Rural Acute Care Hospital
- Hugo, OK
- NPI 1881689289
-
- Emergency Medicine Physician
- Ardmore, OK
- NPI 1588427462
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
OK
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1437916525
-
- Critical Access Hospital
- Mangum, OK
- NPI 1033635263
-
- Emergency Medicine Physician
- Pauls Valley, OK
- NPI 1083280622
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Critical Access Hospital
- Shattuck, OK
- NPI 1083617807
-
- Rural Acute Care Hospital
- Stilwell, OK
- NPI 1790753358
-
- Family Medicine Physician
- Stilwell, OK
- NPI 1326017492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.