Individual provider Active NPI

Alan Wayne Taylor

  • Medical Physician Assistant
  • El Reno, OK
National Provider Identifier
1316932676
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1157 Issued in OK
Practice address
2115 Parkview Drive
El Reno, OK 73036-2109
Phone
(405) 262-2640
Fax
(405) 422-2521
NPI assigned
Sep 13, 2005
Last updated
Jun 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1157 OK Primary

Addresses

Primary practice location

2115 Parkview Drive
El Reno, OK 73036-2109

Mailing address

2115 Parkview Drive
El Reno, OK 73036-2109
Phone (405) 262-2640

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
I20051223000121 OK Practitioner - Physician Assistant 8527087394 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1157OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Anadarko Inc Current Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 21, 2024 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 21, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 6, 2015 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 21, 2024 Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Rha Stroud Inc Past Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Interoperability endpoints

  • Direct secure messaging: alantaylor@rwhanadarko.medalliesdirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1316932676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DRIVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362109",
            "telephone_number": "405-262-2640",
            "fax_number": "405-422-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PARKVIEW DRIVE",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362109",
            "telephone_number": "405-262-2640",
            "fax_number": "405-422-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ALAN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.