Dr. Charles Wade Taylor
Internal Medicine (Hematology & Oncology)

Address: 12697 E 51st St, Tulsa, OK 74146-6236
Phone: 9185053200

Dr. Charles Wade Taylor (NPI# 1003859679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003859679
Entity Type Individual
Full Name Dr. Charles Wade Taylor
Credential M.D.
Gender Male
Practice Address 12697 E 51st St
Tulsa
OK 74146-6236
Practice Telephone 9185053200
Practice Fax Number 9185053253
Mailing Address 12697 E 51st St
Tulsa
OK 74146-6236
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-13
Last Update Date 2015-05-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 15268 AZ
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 14470 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 331740YV6N OTHER MEDICARE PTAN

Other Providers CHARLES TAYLOR

NPI Name Taxonomy Address Enumeration
1831691740 Charles Taylor Behavior Analyst 196 Broyles Rd, Spring City, TN 37381-5406 2018-03-06
1265972368 Charles Taylor Counselor 1200 6th Ave S, Jasper, AL 35501-4606 2017-03-08
1649607094 Charles Reid Taylor Speech-Language Pathologist 109 Atlantic St, Jersey City, NJ 07304-2303 2013-10-01
1689911737 Charles W Taylor IIi Chiropractor 703 E Market St, Scranton, PA 18509-1257 2013-01-09
1124376025 Charles Taylor Pharmacist 84 Candlelite Dr, Almo, KY 42020-9526 2012-08-27
1245547595 Charles D Taylor Dentist 24430 Gratiot, Eastpointe, MI 48021 2010-09-08
1184950610 Charles David Taylor Marriage & Family Therapist 222 E Yanonali St Unit A, Santa Barbara, CA 93101-1855 2009-10-17
1407037369 Charles W Taylor Dentist 1245 Southern Blvd., Bronx, NY 10459 2007-11-20
1013119676 Charles Garrett Taylor II Dentist 3721 S Olive St, Pine Bluff, AR 71603-6756 2007-06-04
1447387154 Charles D. Taylor General Practice 4409 N Classen Blvd, Oklahoma City, OK 73118-5009 2007-02-28

Physician Overview

NPI 1003859679
PAC ID by PECOS 5294743738
Professional Enrollment ID I20091209000604
Full Name Charles W Taylor
Organization Legal Name OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
Phone Number 9185053200
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty MEDICAL ONCOLOGY
Group Practice PAC ID 0042513558
Number of Group Practice Members 48
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370114 ST JOHN MEDICAL CENTER, INC
370018 JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
370227 ST JOHN OWASSO
370001 HILLCREST MEDICAL CENTER
370034 MCALESTER REGIONAL HEALTH CENTER AUTHORITY

Office Location

Street Address 12697 E 51ST ST
City TULSA
State OK
Zip Code 74146-6236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366865545 Jason Lamont Davis Counselor 12697 E 51st St, Tulsa, OK 74146-6236 2014-01-24
1093286635 Monica Lee Davis Dietitian, Registered 12697 E 51st St, Tulsa, OK 74146-6236 2018-12-07
1558839472 Rhonda Hilger Nurse Practitioner 12697 E 51st St, Tulsa, OK 74146-6236 2018-11-08
1871078535 Cynthia Wise Nurse Practitioner 12697 E 51st St, Tulsa, OK 74146-6236 2018-09-28
1346790300 Grace Ballew Dietitian, Registered 12697 E 51st St, Tulsa, OK 74146-6236 2016-10-13
1700245420 Osu Center for Health Sciences Clinic/Center 12697 E 51st St, Tulsa, OK 74146-6236 2016-02-23
1962876045 Oklahoma Cancer Specialists and Research Institute LLC Obstetrics & Gynecology 12697 E 51st St, Tulsa, OK 74146-6236 2015-11-30
1851773444 Sara Elizabeth White Clinical Nurse Specialist 12697 E 51st St, Tulsa, OK 74146-6236 2015-06-19
1659767549 Taimezhaki Parker Nurse Practitioner 12697 E 51st St, Tulsa, OK 74146-6236 2015-04-08
1427306729 Osu Center for Health Sciences Clinic/Center 12697 E 51st St, Tulsa, OK 74146-6236 2012-08-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811401631 Fresenius Medical Care Tulsa, LLC Clinic/Center 5230 S Mingo Rd, Tulsa, OK 74146 2017-12-01
1184158404 Alexis Lauren Allen Case Manager/Care Coordinator 9820 E 41st St #400, Tulsa, OK 74146 2017-04-13
1578995908 Adrian Gheorghe Butuc Reflexologist 5635 S Mingo #b, Tulsa, OK 74146 2013-08-08
1336587088 Tulsa Cancer Institute, Pllc Obstetrics & Gynecology 12697 E. 51st St. South, Tulsa, OK 74146 2013-06-04
1265782338 Milestones Pediatric Urgent Care Pediatrics 3863 South 103rd E Avenue, Tulsa, OK 74146 2012-09-14
1619232972 Diagnostic Imaging Associates General Acute Care Hospital 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 2012-07-11
1790046654 Aundra Lamar Fuller Behavior Analyst 10922 E. 39th St., Tulsa, OK 74146 2012-06-06
1134492416 Mark S Thomas Jr. Behavior Analyst 10005 E 52nd Street, Tulsa, OK 74146 2012-02-16
1922307958 Founders Healthcare, LLC Durable Medical Equipment & Medical Supplies 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 2011-03-16
1154554459 Ami Nichole Hess Radiology Practitioner Assistant 4500 South Garnett Rd, Suite 300, Tulsa, OK 74146 2009-09-02
Find all providers in zip 74146

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326145962 Richard Charles Staab Internal Medicine 1810 E 15th St, Tulsa, OK 74104-4611 2006-09-17
1093782245 John L. Eckenrode Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2006-03-07
1376969378 Oncology Physicians LLC Internal Medicine 7107 S Yale Ave, No,198, Tulsa, OK 74136-6308 2014-03-14
1336406685 Chelsea Nicole Thomas Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2012-04-11
1669745667 Amara Gayathri Nandikolla Internal Medicine 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 2012-02-22
1730403882 Oklahoma Oncology and Hematology, P.C. Internal Medicine 1810 E 15th St, Tulsa, OK 74104-4611 2010-03-18
1235398066 Laura K Brett Internal Medicine 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419 2008-06-06
1770790289 Supriya Koya Internal Medicine 1919 S Wheeling Ave, Ste 204, Tulsa, OK 74104-5638 2007-05-16
1154436640 George L River Internal Medicine 10109 E 79th St, Tulsa, OK 74133-4564 2006-08-21
1801826490 Richard H Ruben Internal Medicine 1245 S Utica Ave, Ste 100, Tulsa, OK 74104-4214 2006-07-03
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74146

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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