Organization Active NPI

Marion Medical PC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1265552384
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2087 Issued in OK
Legal business name
MARION MEDICAL PC
Practice address
3808 E 51St St
Tulsa, OK 74135-3657
Phone
(918) 749-3797
Fax
(918) 749-1536
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Michael Kim Taylor, D.C.
Title
President
Phone
(918) 749-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2087 OK Primary

Addresses

Primary practice location

3808 E 51St St
Tulsa, OK 74135-3657

Mailing address

3808 E 51St St
Tulsa, OK 74135-3657
Phone (918) 749-3797

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0927791Marion Medical PC3808 E 51St Street Suite a, Tulsa, OK 74135Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

3808 E 51st St
Ste B
Tulsa, OK 74135
Phone (918) 749-3797

3808 E 51st St
Tulsa, OK 74135
Phone (918) 494-1305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1265552384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353657",
            "telephone_number": "918-749-3797",
            "fax_number": "918-749-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353657",
            "telephone_number": "918-749-3797",
            "fax_number": "918-749-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-749-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2087",
            "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 Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.