DR. JIMMIE W TAYLOR (NPI# 1811972318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811972318 |
| Entity Type | Individual |
| Full Name | DR. JIMMIE W TAYLOR |
| Credential | MD |
| Practice Address |
735 W Locust St Hwy 100 West Stilwell OK 74960 |
| Mailing Address |
Po Box 820 Stilwell OK 74960-0820 |
| Practice Telephone | 9186963155 |
| Practice Fax Number | 9186968766 |
| Mailing Telephone | 9186963155 |
| Mailing Fax Number | 9186968766 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2013-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10182 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100099180A | 05 | |
| OK | SOONERCARE | 100099180B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003104563 | Jimmie L Taylor | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-07-19 |
| 1568697142 | Jimmie Matthew Taylor | Radiology | 4300 W Memorial Rd, Department of Radiology, Oklahoma City, OK 73120-8304 | 2009-05-26 |
| Street Address |
735 W LOCUST ST HWY 100 WEST |
| City | STILWELL |
| State | OK |
| Zip Code | 74960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1902321797 | Rocky Mountain School District No 24 | Local Education Agency (LEA) | Rr 1, B 665, Stilwell, OK 74960 | 2017-08-14 |
| 1912454075 | Mandi Faddis | Technician, Other | Rt 3 Box 2510, Stilwell, OK 74960 | 2016-09-07 |
| 1932566601 | Mandy Richardson | Technician | 1801 S Loucust, Stilwell, OK 74960 | 2016-01-26 |
| 1396129557 | Matthew Glenn Reece | Dentist | Hwy 51 East, Stilwell, OK 74960 | 2015-07-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1356789838 | Sandra Marie Holmes | Speech-Language Pathologist | 100 Maryetta Road, Stilwell, OK 74960 | 2013-06-06 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| Find all providers in zip 74960 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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| 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.