Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Wise

Individual provider Physician Assistant · NPI 1326713017

Taylor Wise is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices with Usacs Observation Medicine Services of Oklahoma, LLC, a 200-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
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Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 697-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1326713017
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2021
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023
Mailing address4308 S Ash Ave, Broken Arrow, OK 74011-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Usacs Observation Medicine Services Of Oklahoma, Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tulsa