Dr. Charles Wade Taylor
Hematology & Oncology
12697 E 51st St
Tulsa
, Oklahoma 74146-6236
Dr. Charles Wade Taylor
Hematology & Oncology
12697 E 51st St
Tulsa
, Oklahoma 74146-6236
(918) 505-3253
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Charles Wade Taylor
- 12697 E 51st St
- Tulsa, OK
- Zip : 74146-6236
- Fax : (918) 505-3253
- Phone : (918) 505-3200
Second Address
- Dr. Charles Wade Taylor
- 12697 E 51st St
- Tulsa, OK
- Zip : 74146-6236
- Fax : (918) 505-3253
- Phone : (918) 505-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 14470 | OK |
| N | 207RH0003X | Hematology & Oncology | 15268 | AZ |
National Provider Identifier
| NPI | 1003859679 |
|---|---|
| Provider Name | Dr. Charles Wade Taylor |
| First Address | Tulsa, OK 74146-6236 |
| Second Address | Tulsa, OK 74146-6236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 01/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 331740YV6N | MEDICARE PTAN (01) | OK |
| D44567 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.