Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386104149 Individual Practitioner Female Practitioner

Dr. Taylor Lynn Van Dam , MD

Pediatrics • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Van Dam, MD is a registered healthcare professional specializing in Pediatrics in Edmond, OK. Practice services are available at 2017 W I 35 FRONTAGE RD STE 170 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2017 W I 35 Frontage Rd Ste 170

Edmond, OK 730138558

Telephone 4057573742
Fax 4057573744

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Edmond, OK (730 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 39313

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MO 2019022814

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License KS 94-09971

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.

Secondary Practice Locations

2401 Gillham Rd

Kansas City, MO 641084619

Phone: 8162343000

2109 N Kelly Ave

Edmond, OK 730033908

Phone: 4055138880

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Andrea Miller , APRN-CNP

Nurse Practitioner - Family

NPI 1073246393

Advanced Practice Registered Nurse - Certified Nurse Practitioner

NPI 1710566088

Doctor of Osteopathic Medicine (D.O.)

Halli Elder , NP

Nurse Practitioner - Family

NPI 1720614704

Nurse Practitioner

Corbin Cordis , NP-C

Nurse Practitioner - Family

NPI 1972135929

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 22, 2025

Registered at 2017 W I 35 FRONTAGE RD STE 170, EDMOND, OK 730138558 (Tel: 4057573742)

📍
Updated Business Mailing Address January 22, 2025

Registered at 2017 W I 35 FRONTAGE RD STE 170, EDMOND, OK 730138558 (Tel: 4057573742)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2025

Pediatrics (License #2019022814 in MO)

📍
Updated Practice Location June 20, 2022

Registered at 2109 N KELLY AVE, EDMOND, OK 730033908 (Tel: 4055138880)

📍
Updated Business Mailing Address June 20, 2022

Registered at 2109 N KELLY AVE, EDMOND, OK 730033908

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Pediatrics (License #94-09971 in KS)

NPI Profile Active March 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2019

Registered at 2401 GILLHAM RD, KANSAS CITY, MO 641084619 (Tel: 8162343000)

📍
Updated Business Mailing Address March 20, 2019

Registered at 11621 S HUDSON CT, TULSA, OK 741378510

👤
Provider Name / Credentials Updated March 20, 2019

Recorded as TAYLOR VAN DAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386104149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2019
Last Update: January 22, 2025
Sole Proprietor: No

Mailing Address

2017 W I 35 Frontage Rd Ste 170

Edmond, OK 730138558

Phone: 4057573742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.