Individual
MICHAEL D TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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