Active NPI
Glenn Doyle Taylor, DO
- Anesthesiology Physician
- Enid, OK
National Provider Identifier
1619087814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2819
- Practice address
- 1133 West Willow Rd
Enid, OK 73703 - Phone
- (580) 233-7171
- Fax
- (580) 233-6680
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2819 | OK | Primary |
Addresses
Primary practice location
1133 West Willow Rd
Enid, OK 73703
Mailing address
1133 West Willow Rd
Enid, OK 73703
Phone (580) 233-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107070A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2819 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Kansas Pain & Anesthesia, PA | Anesthesiology | Past | Accepting new patients |
| Anesthesiologist Associates of Hays, PA | Anesthesiology | Past | Accepting new patients |
| Anesthesiology Management Inc | Anesthesiology | Past | Accepting new patients |
| Topeka Anesthesia & Pain Treatment, P.a. | Anesthesiology | Past | Accepting new patients |
| Gilbert M Rogers DO PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Enid, OK
- NPI 1154548493
Anesthesiology
-
- Anesthesiology Physician
- Hays, KS
- NPI 1750326492
Anesthesiology
-
- Anesthesiology Physician
- Hays, KS
- NPI 1366547333
Anesthesiology
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1760758668
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619087814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 WEST WILLOW RD",
"city": "ENID",
"state": "OK",
"postal_code": "73703",
"telephone_number": "580-233-7171",
"fax_number": "580-233-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 WEST WILLOW RD",
"city": "ENID",
"state": "OK",
"postal_code": "73703",
"telephone_number": "580-233-7171",
"fax_number": "580-233-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "GLENN",
"middle_name": "DOYLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "2819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100107070A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.