Jimmie W Taylor (NPI# 1811972318, PAC ID# 0244282952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1811972318 |
PAC ID by PECOS | 0244282952 |
Professional Enrollment ID | I20050210000530 |
Full Name | Jimmie W Taylor |
Address |
735 W Locust St Hwy 100 West Stilwell OK 74960-0820 |
Phone Number | 9186963155 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 1973 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370178 | MEMORIAL HOSPITAL |
370089 | NORTHEASTERN HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
735 W Locust St, Hwy 100 West, Stilwell, OK 74960-0820 | 9186963155 |
Street Address |
735 W LOCUST ST HWY 100 WEST |
City | STILWELL |
State | OK |
Zip | 74960-0820 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alberto H Delcorro | General Surgery | Adair County Health Center, Inc. | 1401 W Locust St, Stilwell, OK 74960-3217 |
Theresa N Jackson | General Surgery | Ess of Stilwell, LLC | 1401 W Locust St, Stilwell Memorial Hospital, Stilwell, OK 74960-3275 |
Mario Roldan | General Surgery | Ess of Stilwell, LLC | 1401 W Locust St, Stilwell Memorial Hospital, Stilwell, OK 74960-3275 |
Wojciech L Dulowski | Family Medicine | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Wanda F Butler | Nurse Practitioner | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Gitanjali Pai | Infectious Disease | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Donna Ann Dansby | Nurse Practitioner | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Steven G Brannan | Certified Registered Nurse Anesthetist (crna) | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Eric W Simons | Obstetrics/gynecology | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Emmanuel N Macaraeg | Anesthesiology | Adair County Health Center Inc | 1401 W Locust St, Stilwell, OK 74960-3275 |
Find all physicians in zip 74960 |
City | STILWELL |
Zip Code | 74960 |
Specialty | GENERAL PRACTICE |
City + Specialty | STILWELL + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.