Michael R Talley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13660 Issued in OK

Practice address

124 N 6TH St
Okeene, OK 73763

Phone

(580) 822-4404

Fax

(580) 822-4403

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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.

• Summers Health Services, LLC

  • Skilled Nursing Facility
  • Okeene, OK
  • NPI 1467843177
  NPD (past)
• Summit Healthcare LLC

  • Nursing Facility/Intermediate Care Facility
  • Okeene, OK
  • NPI 1487653010
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mtalley58697@direct-ehr-ssmhc.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2020.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1740224955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "73763",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "73763",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "13660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00285340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "730793801003",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123710A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtalley58697@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mtalley58697@direct-ehr-ssmhc.com",
            "address_1": "124 N 6th St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "124 N 6th St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Jayne Schwartz
• George Scott Stenger, D.O
• Summers Health Services, LLC
• Summit Healthcare LLC
• Summit Healthcare Receivership LLC
• Brenda Lee Wallace, M.S.W., L.C.S.W
• Wheatland Therapy Services, LLC.
• Amy Lee Williams, PA-C

• All providers in Okeene, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.