NPIMap

Individual provider Active NPI

Taylor Calli Dillard, DO

  • Family Medicine Physician
  • Madill, OK
National Provider Identifier
1306416607
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7687 Issued in OK
Practice address
907 Hospital Dr
Madill, OK 73446-5508
Phone
(580) 795-0191
Fax
(580) 795-0194
NPI assigned
Jun 29, 2021
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0428R OK
Family Medicine Physician 207Q00000X 7687 OK Primary

Addresses

Primary practice location

907 Hospital Dr
Madill, OK 73446-5508

Mailing address

907 Hospital Dr
Madill, OK 73446-5508
Phone (580) 795-0191

Other names 1

  • Dr. Taylor Calli Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221123002648 OK Practitioner - Family Practice 8224430277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall County Hma, LLCGroup PAC ID 5193985653, 11 clinicians

Practice addresses (Care Compare)

907 Hospital Dr
Madill, OK 73446-5508
Phone (580) 795-0191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall County Hma, LLC CurrentSince Aug 5, 2024 Accepting new patients
Marshall County Hma LLC Single Specialty CurrentSince Aug 5, 2024 Accepting new patients
Nes Oklahoma, Inc. Single Specialty CurrentSince Oct 31, 2022 Accepting new patients
Elite Integral Staffing LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Marshall County Hma, LLC Past Accepting new patients
Marshall County Hma LLC Past Accepting new patients

Locations

1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

Interoperability endpoints

  • Direct secure messaging: taylor.dillard.1@4696.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1306416607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HOSPITAL DR",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734465508",
            "telephone_number": "580-795-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HOSPITAL DR",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734465508",
            "telephone_number": "580-795-0191",
            "fax_number": "580-795-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "TAYLOR",
        "middle_name": "CALLI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "0428R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "ROGERS",
            "middle_name": "CALLI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madill, OK

Sources for this page

Verify at the official NPI Registry.