Individual provider Active NPI

Taler L Henry, PA-C

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1164077780
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3051 Issued in OK
Practice address
5401 N Portland Ave Ste 600
Oklahoma City, OK 73112-2121
Phone
(405) 713-9940
Fax
(405) 713-9941
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9888 AZ
Physician Assistant 363A00000X PA2023-0216 NM
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2927 NE
Physician Assistant 363A00000X 3051 OK Primary

Addresses

Primary practice location

5401 N Portland Ave Ste 600
Oklahoma City, OK 73112-2121

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 713-9940

Other practice location 1

914 N Scottsdale Rd
Tempe, AZ 85288-2116
Phone (480) 924-8382

Other practice location 2

8201 Golf Course Rd NW Ste A3
Albuquerque, NM 87120-5803
Phone (505) 800-7070

Other practice location 3

110 N 66th St
Lincoln, NE 68505-2402
Phone (480) 682-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NM, AZ, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20191002003154 OK Practitioner - Physician Assistant 3577893627 Reassigns benefits to 5 organizations
I20230818002578 NM Practitioner - Physician Assistant 3577893627 Reassigns benefits to 2 organizations
I20231221003588 AZ Practitioner - Physician Assistant 3577893627 Reassigns benefits to 2 organizations
I20240725003416 TX Practitioner - Physician Assistant 3577893627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10701 N Rockwell Ave
Oklahoma City, OK 73162-4537
Phone (405) 470-1500

11601 S Western Ave
Oklahoma City, OK 73170-5823
Phone (405) 691-5208

16205 N Pennsylvania Ave
Edmond, OK 73013-7325
Phone (405) 705-5700

46 E 15TH St
Edmond, OK 73013-4301
Phone (405) 844-5210

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Hospital & facility affiliations

  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2927NEMDMental Health Counselor
3051OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jul 22, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2026 Accepting new patients
Cherokee Nation CurrentSince Jul 22, 2024 Accepting new patients
Lovelace Urgent Care, LLC PastSince Apr 1, 2025 Accepting new patients
Cherokee Nation Past Accepting new patients

Locations

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

Dept 2269
Tulsa, OK 74182

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: teastercampbell143871@direct.integrisok.com
  • Direct secure messaging: taler.henrypac.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: taler.henrypac.p10@direct.nextcare.nextgenshare.com
  • Direct secure messaging: taler.henrypac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 4

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1164077780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "405-713-9940",
            "fax_number": "405-713-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE STE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122121",
            "telephone_number": "405-713-9940",
            "fax_number": "405-713-9941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 N Scottsdale Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852882116",
            "country_code": "US",
            "telephone_number": "480-924-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Golf Course Rd NW Ste A3",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871205803",
            "country_code": "US",
            "telephone_number": "505-800-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 N 66th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685052402",
            "country_code": "US",
            "telephone_number": "480-682-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TALER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9888",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2023-0216",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2927",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.