Individual
TIMOTHY N TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18660 BAGLEY RD STE 405, CLEVELAND, OH 44130-3483
(440) 826-3030
(440) 826-1235
Mailing address
PO BOX 932085, CLEVELAND, OH 44193-0007
(216) 267-5139
(216) 267-5133
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
34003215T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514894
—
OH
01
—
10800279
CAQH
—
01
—
112730
KAISER
—
01
—
1780634279
GROUP NPI
—
01
—
2001738
GROUP MEDICAID
OH
01
—
290015145
RR MEDICARE INDIVIDUAL
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
9287148
GROUP MEDICARE
OH
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS
—
Enumeration date
03/07/2006
Last updated
01/06/2021
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