Individual provider Active NPI

Allison A Taylor, MD

  • Obstetrics & Gynecology Physician
  • Durant, OK
National Provider Identifier
1154369908
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-29340 Issued in KS
Practice address
1400 Bryan Dr Ste 301
Durant, OK 74701-2158
Phone
(809) 209-0635
Fax
(316) 634-0050
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-29340 KS Primary

Addresses

Primary practice location

1400 Bryan Dr Ste 301
Durant, OK 74701-2158

Mailing address

1400 Bryan Dr Ste 301
Durant, OK 74701-2158
Phone (809) 209-0635

Other identifiers 3

IdentifierTypeStateIssuer
200870180AMedicaidKS
KA1713OtherKSMEDICARE PTAN GROUP
KA1713002OtherKSMEDICARE PTAN INDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allison.taylor.1@4696.direct.athenahealth.com

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
I20141002000133 OK Practitioner - Obstetrics/Gynecology 9638073539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
St. Louis College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

1201 E Jackson St
Hugo Medical Clinic
Hugo, OK 74743-4229
Phone (580) 326-6423

1400 Bryan Dr
Durant, OK 74701-2158

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 924-3080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29340KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durant Hma Physician Management, LLC Obstetrics & Gynecology CurrentSince Sep 15, 2014 Accepting new patients
Durant Hma LLC Past Accepting new patients

Locations

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400

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

1201 E Jackson St
Hugo, OK 74743
Phone (580) 326-6423

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

Interoperability endpoints

  • Direct secure messaging: allison.taylor.1@4696.direct.athenahealth.com

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1154369908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 301",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "809-209-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR STE 301",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "809-209-0635",
            "fax_number": "316-634-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALLISON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-29340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200870180A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN GROUP",
            "identifier": "KA1713",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "KA1713002",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison.taylor.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1400 Bryan Dr Ste 301",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.