Tyler L Woolum, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

7316 Issued in OK

Practice address

4401 S Western Ave
Oklahoma City, OK 73109-3413

Phone

(405) 636-7000

NPI assigned

May 13, 2020

Sex

Male

Sole proprietor

No

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, TX2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
• St David'S Medical Center Hospital, Austin, TX, CCN 450431

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment Care Compare group NPD
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Grady Memorial Hospital

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Oklahoma TCS LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1043932486
  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722
  Medicare reassignment NPD
• Emergency Associates of Central Texas PA

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1215418280
  Medicare reassignment NPD
• Premier Physician Staffing 2 PLLC

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1326509407
  Medicare reassignment
• Farmers Union Hospital Association

  • Rural Health Clinic/Center
  • Elk City, OK
  • NPI 1114421492
  NPD
• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  NPD
• Grady Memorial Hospital

  • Rural Health Clinic/Center
  • Tuttle, OK
  • NPI 1750715439
  NPD
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1992854590
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. David'S Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669094579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLUM",
        "first_name": "TYLER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "7316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Grace Wooldridge, BA
• Angela Woolfolk
• Sean C Woolington, MD
• Carenda Woolridge
• Rachael Rose Woolsey
• Christopher Woon
• Craig Allen Wooten, DDS
• Jaycie Gay Wooten
• Mary Jill Wooten, P.T.
• Gary Lee Worcester, MD

• Emergency Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.