Individual provider Active NPI

Christopher Aquies Taylor, PA-C

  • Physician Assistant
  • Lawton, OK
National Provider Identifier
1205108222
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1102190 Issued in TX
Practice address
4301 Wilson St
Lawton, OK 73503-4472
Phone
(580) 558-3612
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1102190 TX Primary

Addresses

Primary practice location

4301 Wilson St
Lawton, OK 73503-4472

Mailing address

4301 Wilson St
Lawton, OK 73503-4472
Phone (580) 558-3612

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000505 OK Practitioner - Physician Assistant 9032435110 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians
Ies ER Oklahoma LLCGroup PAC ID 5395234678, 135 clinicians

Practice addresses (Care Compare)

1121 NW 63Rd St
Suite 5001
Nichols Hills, OK 73116-6504
Phone (405) 652-0632

12220 N Macarthur Blvd D
Mercy Gohealth Urgent Care NW Okc
Oklahoma City, OK 73162-1851
Phone (405) 437-1100

1380 W Covell Rd
132 Mercy Gohealth Urgent Care N Edmond
Edmond, OK 73003-3575
Phone (405) 279-9637

1777 Garth Brooks Blvd
Yukon, OK 73099-6388
Phone (405) 265-5447

228 S Bryant Ave
Suite 8
Edmond, OK 73034-5723
Phone (405) 938-1389

5908 SE 15TH St
Midwest City, OK 73110-2618
Phone (405) 455-8010

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

8500 N Rockwell Ave
Oklahoma City, OK 73132-1520
Phone (405) 724-5240

Hospital & facility affiliations

  • Elara Caring Xxiv Home health agency, Lawton, OK, CCN 377660
  • Enhabit Home Health of Western Oklahoma Home health agency, Lawton, OK, CCN 377730
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
  • Memorial Health Hospital, Lawton, OK, CCN 370056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2259OKMDRegistered Dietitian
1102190TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Feb 2, 2015 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Feb 2, 2015 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Feb 2, 2015 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Feb 2, 2015 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Feb 1, 2026 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Oct 1, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

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

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

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 15

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 15

Hospital & facility affiliations 8

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": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1205108222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "AQUIES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1102190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.