Active NPI
Tyler Austin McKinney, DO
- Emergency Medicine Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7650
- Practice address
- 3401 W Gore Blvd
Lawton, OK 73505-6332 - Phone
- (580) 585-5545
- NPI assigned
- Apr 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 7650 | OK | Primary |
Addresses
Primary practice location
3401 W Gore Blvd
Lawton, OK 73505-6332
Mailing address
3401 W Gore Blvd
Lawton, OK 73505-6332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7650 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Centurion Emergency Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Elite Hospital Partners of Oklahoma | Emergency Medicine | Current | Accepting new patients |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Duncan Regional Hospital, Inc. | Past | Accepting new patients | |
| Choctaw Nation of Oklahoma | Past | Accepting new patients |
Locations
1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Organizations & group practices 10
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.
-
- Critical Access Hospital
- Sulphur, OK
- NPI 1700869492
-
- Emergency Medicine Physician
- Duncan, OK
- NPI 1750112942
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1154104404
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
- Primary Care Clinic/Center
- Broken Bow, OK
- NPI 1770559619
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1144802554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W GORE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056332",
"telephone_number": "580-585-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "TYLER",
"middle_name": "AUSTIN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-25",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "7650",
"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 Dec 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.