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TAYLOR LYNN VAN DAM MD
NPI 1386104149
Pediatrics in Edmond, OK

Active since March 20, 2019PECOS Enrolled
2017 W I 35 FRONTAGE RD STE 170, EDMOND, OK 73013(405) 757-3742(405) 757-3744 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Taylor Lynn Van Dam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR LYNN VAN DAM MD (NPI 1386104149) is an individual pediatrics provider in Edmond, Oklahoma, licensed in Oklahoma (39313) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386104149
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTAYLOR LYNN VAN DAMCredential: MD
Location Address2017 W I 35 FRONTAGE RD STE 170Edmond, OK 73013-8558
Mailing Address2017 W I 35 Frontage Rd Ste 170Edmond, OK 73013-8558 · (405) 757-3742 · Fax (405) 757-3744
Phone(405) 757-3742
Fax(405) 757-3744
Sole ProprietorNo
Enumeration DateMarch 20, 2019
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1386104149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OK · 39313✔ Licensed in MO · 2019022814✔ Licensed in KS · 94-09971
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2017 W I 35 FRONTAGE RD STE 170, Edmond, OK 73013
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3000
Location 22109 N Kelly AveEdmond, OK 73003-3908 · Phone (405) 513-8880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Lynn Van Dam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA N MILLER APRN-CNP
Nurse Practitioner (Family)
2017 W I 35 FRONTAGE RD STE 170
EDMOND, OK 73013
Oklahoma County (405) 757-3742
JEANA BACKUS APRN-FNP
Nurse Practitioner (Family)
2017 W I 35 FRONTAGE RD STE 170
EDMOND, OK 73013
Oklahoma County (405) 757-3365
DR. MAKENNA SCHULTZ DO
Family Medicine
2017 W I 35 FRONTAGE RD STE 170
EDMOND, OK 73013
Oklahoma County (405) 757-3742
HALLI J ELDER N.P.
Nurse Practitioner (Family)
2017 W I 35 FRONTAGE RD STE 170
EDMOND, OK 73013
Oklahoma County (405) 757-3742
CORBIN ELIZABETH CORDIS NP-C
Nurse Practitioner (Family)
2017 W I 35 FRONTAGE RD STE 170
EDMOND, OK 73013
Oklahoma County (405) 757-3742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Van Dam's NPI number?

The NPI number for Taylor Van Dam is 1386104149. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Taylor Van Dam located?

Taylor Van Dam practices at 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013. The listed phone number is (405) 757-3742.

What is Taylor Van Dam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Taylor Van Dam enrolled in Medicare?

Yes. Taylor Van Dam is registered in the Medicare PECOS enrollment system.

What insurance does Taylor Van Dam accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Taylor Van Dam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Van Dam was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.