Active NPI
Taylor Michael Williams
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9115
- Practice address
- 1120 S Utica Ave
Tulsa, OK 74104-4012 - Phone
- (918) 579-1000
- NPI assigned
- May 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9115 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Tulsa, OK 74104-4012
Mailing address
1521 N 22ND St
Broken Arrow, OK 74012-2320
Phone (316) 250-9875
Other practice location 1
200 2nd Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251118000643 | OK | Practitioner - Emergency Medicine | 6002307030 | Reassigns benefits to 3 organizations |
| I20260608001019 | TX | Practitioner - Emergency Medicine | 6002307030 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Care Consultants Inc
Practice addresses (Care Compare)
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone (918) 774-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9115 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Care Consultants, Inc | Emergency Medicine | Current | Accepting new patients |
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
Locations
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- McAlester, OK
- NPI 1912945635
Emergency Medicine, OK
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
Emergency Medicine, OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1194565770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N 22ND ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122320",
"telephone_number": "316-250-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-1000"
}
],
"practiceLocations": [
{
"address_1": "200 2nd Ave SW",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "OK",
"postal_code": "743546830",
"country_code": "US",
"telephone_number": "918-542-6611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TAYLOR",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-30",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "9115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.