Active NPI
Tylor R Laflan
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1699836460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2418
- Practice address
- 1131 E Britton Rd
Oklahoma City, OK 73131-2004 - Phone
- (405) 475-5505
- NPI assigned
- Dec 13, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2418 | OK | Primary |
Addresses
Primary practice location
1131 E Britton Rd
Oklahoma City, OK 73131-2004
Mailing address
PO Box 162
Piedmont, OK 73078-0162
Phone (405) 475-0870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12754842 | Other | CAQH |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2418 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traditions Hospice of Tulsa, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Traditions Health of Tulsa
- Community Based Hospice Care Agency
- Tulsa, OK
- NPI 1255877718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561248000000",
"number": "1699836460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162",
"city": "PIEDMONT",
"state": "OK",
"postal_code": "730780162",
"telephone_number": "405-475-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 E BRITTON RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731312004",
"telephone_number": "405-475-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFLAN",
"first_name": "TYLOR",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2019-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12754842",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.