Active NPI
Taylor F Lancaster, M.D.
- Diagnostic Radiology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23581
- Practice address
- 1705 Renaissance Blvd
Ste 100
Edmond, OK 73013-3041 - Phone
- (405) 285-6901
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 27, 2023
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 23581 | OK | Primary |
Addresses
Primary practice location
1705 Renaissance Blvd
Ste 100
Edmond, OK 73013-3041
Mailing address
1908 Alderbrook CT
Norman, OK 73072-3029
Phone (405) 285-6901
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J8682 | Other | TX | TEXAS BCBS |
| 178784001 | Medicaid | AR | |
| 771100501 | Other | AR | ARK BREASTCARE |
| 200262360A | Medicaid | OK | |
| N3130 | Other | TX | TEXAS STATE LICENSE |
| 1760521645 | Other | AR | AR BCBS |
| 204961101 | Medicaid | TX | |
| E6107 | Other | AR | ARK STATE LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9821 S May Ave
Suite B
Oklahoma City, OK 73159-7042
Phone (405) 645-5439
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23581 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nerve Renewal Group LLC | Current | Accepting new patients | |
| NR Southwest Okc LLC | Current | Accepting new patients | |
| NR Norman LLC | Current | Accepting new patients | |
| Renaissance Medical Management LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3908 N Peniel Ave
Ste 450
Bethany, OK 73008
640 24th Ave SW
Norman, OK 73069
Phone (405) 295-7833
3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903
3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700
9821 S May Ave
Ste B
Oklahoma City, OK 73159
Phone (405) 631-4263
Organizations & group practices 4
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 Nerve Renewal SW OKC
- Physical Medicine & Rehabilitation Physician
- Oklahoma City, OK
- NPI 1598480220
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1538839832
-
- Family Medicine Physician
- Norman, OK
- NPI 1942919998
-
- Diagnostic Radiology Physician
- Edmond, OK
- NPI 1194583963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1760521645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 ALDERBROOK CT",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723029",
"telephone_number": "405-285-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 RENAISSANCE BLVD",
"address_2": "STE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133041",
"telephone_number": "405-285-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "TAYLOR",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "23581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BCBS",
"identifier": "8J8682",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178784001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK BREASTCARE",
"identifier": "771100501",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200262360A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "N3130",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "1760521645",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204961101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARK STATE LICENSE",
"identifier": "E6107",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.