Active NPI
Taylor Craft, D.O.
- Pediatrics Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6386
- Practice address
- 3400 S Douglas Blvd Ste 307
Oklahoma City, OK 73150-1001 - Phone
- (405) 772-4620
- Fax
- (405) 772-4623
- NPI assigned
- Feb 15, 2017
- Last updated
- Jun 24, 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 | NU | ||
| Pediatrics Physician | 208000000X | 6386 | OK | Primary |
Addresses
Primary practice location
3400 S Douglas Blvd Ste 307
Oklahoma City, OK 73150-1001
Mailing address
3400 S Douglas Blvd Ste 307
Oklahoma City, OK 73150-1001
Phone (405) 772-4620
Other practice location 1
717 S Houston Ave
Tulsa, OK 74127-9023
Phone (918) 382-3178
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6386 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Pediatrics | Current | Accepting new patients |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients |
Locations
1800 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 732-7119
3400 S Douglas Blvd
Ste 307
Oklahoma City, OK 73150
Phone (405) 218-2582
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
Interoperability endpoints
- tcraft376005@direct-ehr-ssmhc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1235678863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 S DOUGLAS BLVD STE 307",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731501001",
"telephone_number": "405-772-4620",
"fax_number": "405-772-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S DOUGLAS BLVD STE 307",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731501001",
"telephone_number": "405-772-4620",
"fax_number": "405-772-4623"
}
],
"practiceLocations": [
{
"address_1": "717 S Houston Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741279023",
"country_code": "US",
"telephone_number": "918-382-3178",
"fax_number": "918-382-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAFT",
"first_name": "TAYLOR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-15",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "6386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.