Taylor M Lewallen, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4878 Issued in OK

Practice address

3731 Legacy
Weatherford, OK 73096-9746

Phone

(580) 772-6777

NPI assigned

Jan 9, 2023

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Oklahoma College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blake a Badgett MD PCGroup PAC ID 9537223128, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Blake a Badgett MD PC

  • Family Medicine Physician
  • Weatherford, OK
  • NPI 1215148044
  Medicare reassignment Care Compare group

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

• Weatherford Hospital Authority

  dba Weatherford Regional Hospital

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1346494275
  Care Compare affiliation
• Weatherford Hospital Authority

  dba WRH Clinic Lab and Radiology

  • General Acute Care Hospital
  • Weatherford, OK
  • NPI 1578716502
  Care Compare affiliation
• Weatherford Hospital Authority

  dba Weatherford Regional Hospital

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1639175185
  Care Compare affiliation

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1881308450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 FREEMONT PL",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-772-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chihchen Sophia Lee, LPMT, MT-BC
• Kenecia Lavonne Lee
• Nichole Lehman
• Thobo Letshabo
• Joseph Leven
• Kimberly K Liebscher, L.P.C., N.C.C.
• Lifeguard Ambulance Service LLC
• Rosenda Limas-Hernandez
• Michelle Loraine Lister
• Little Angels Medical Equipment

• Family Medicine Physician in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.