MEDICARE: DR. CHARLES D. TAYLOR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	9047	OK

General Provider Information

NPI Number	:	1447387154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES D. TAYLOR M.D.

Provider Business Mailing Address
First Line	:	4409 N CLASSEN BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-5009
Country	:	US
Telephone Number	:	405-525-7751
Fax Number	:	405-525-0303

Provider Business Practice Location Address
First Line	:	4409 N CLASSEN BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-5009
Country	:	US
Telephone Number	:	405-525-7751
Fax Number	:	405-525-0303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1013004084 — SALLY RAY LCSW
Practice Location Address:

5009 N PENNSYLVANIA AVE STE 116
OKLAHOMA CITY, OK
73112-8888

Practice Phone: 405-204-6746
Practice Fax: 405-879-2388

1447328489 — EDMONDSON COUNSELING SERVICES, PC
Practice Location Address:

5009 N PENNSYLVANIA AVE , STE. 116
OKLAHOMA CITY, OK
73112-8887

Practice Phone: 405-843-1551
Practice Fax: 405-843-1494

1417078379 — JULIANN MARZUOLA L.P.C.
Practice Location Address:

5009 N PENNSYLVANIA AVE , SUITE 114
OKLAHOMA CITY, OK
73112-8888

Practice Phone: 405-848-1992
Practice Fax: 405-848-1993

1285825356 — SALLY RAY INC
Practice Location Address:

5009 N PENN AVE STE 116
OKLAHOMA CITY, OK
73112-8888

Practice Phone: 405-636-9855
Practice Fax: 405-879-2388

1407020555 — MR. BRIAN THOMAS EDMONDSON LCSW
Practice Location Address:

5009 N PENNSYLVANIA AVE , SUITE 116
OKLAHOMA CITY, OK
73112-8888

Practice Phone: 405-843-1551
Practice Fax: 405-843-1494

1801029715 — DR. ELISSA MARIE DYER PH.D.
Practice Location Address:

5009 N PENNSYLVANIA AVE STE 116
OKLAHOMA CITY, OK
73112-8888

Practice Phone: 405-843-1551
Practice Fax: 405-843-1494

Directions to “ DR. CHARLES D. TAYLOR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.