Individual
MICHAEL D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18101 LORAIN AVE, DEPARTMENT OF SURGERY, CLEVELAND, OH 44111-5612
(216) 476-7155
(216) 476-7883
Mailing address
20525 CENTER RIDGE RD, SUITE 220, ROCKY RIVER, OH 44116-3437
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35086752T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119204
GROUP MEDICAID
—
01
—
11569145
CAQH
—
01
—
129595
KAISER
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
P00301523
RR MEDICARE INDIVIDUAL
—
Enumeration date
02/23/2006
Last updated
01/10/2008
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