NPIMap

Individual provider Active NPI

Taylor Lane Winzeler, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1821338435
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
APA2215 Issued in OK
Practice address
34 SW 89TH St
Oklahoma City, OK 73139-8510
Phone
(405) 488-0757
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X APA2215 OK Primary

Addresses

Primary practice location

34 SW 89TH St
Oklahoma City, OK 73139-8510

Mailing address

5532 N Barnes Ave
Oklahoma City, OK 73112-7729
Phone (405) 706-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130523000011 OK Practitioner - Physician Assistant 2365680899 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2215OKMDSpeech-Language Pathologist
APA2215OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enhanced Wound Care LLC CurrentSince Dec 14, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

6440 Avondale Dr
Ste 20035
Nichols Hills, OK 73116
Phone (918) 231-8724

Interoperability endpoints

  • Direct secure messaging: twinzeler76965@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1821338435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 N BARNES AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127729",
            "telephone_number": "405-706-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398510",
            "telephone_number": "405-488-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINZELER",
        "first_name": "TAYLOR",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "APA2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.