Charles Don Van Tuyl, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16535 Issued in OK

Practice address

11911 S Memorial Dr
Bixby, OK 74008-2030

Phone

(918) 943-3790

NPI assigned

Jun 22, 2006

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prophylaxis Healthcare LLC

  dba Axis HealthCare

  • Multi-Specialty Clinic/Center
  • Bixby, OK
  • NPI 1538453923
  Medicare reassignment Care Compare group NPD
• Counseling & Recovery Services of Oklahoma, Inc.

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1023172012
  Medicare reassignment NPD
• Prophylaxis Healthcare LLC

  dba Axis Behavioral Health

  • Community/Behavioral Health Agency
  • Bixby, OK
  • NPI 1285438317
  NPD
• Alternative Opportunities, Inc

  dba dayspring community services

  • Mental Health Counselor
  • McAlester, OK
  • NPI 1699940981
  NPD (past)
• Rustling Winds Inc

  • Mental Health Counselor
  • McAlester, OK
  • NPI 1326160185
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1629014899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 COUNTRY CLUB RD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017237",
            "telephone_number": "918-429-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 S MEMORIAL DR",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082030",
            "telephone_number": "918-943-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TUYL",
        "first_name": "CHARLES",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "16535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryan Christopher Vaughn
• Victory Spinal Care LLC
• Vision Clinics Inc
• Tom B Wages III, LCSW, ACSW

• Psychiatry Physician in Bixby, OK
• Providers in Bixby, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
• 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.