Individual
JOHN THOMAS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 STATE ST, LA PORTE, IN 46350-3112
(219) 326-5700
(219) 326-8131
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01027579A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000587935
ANTHEM, BCBS
IN
01
—
000001589732
ANTHEM
IN
01
—
000001589986
ANTHEM
IN
01
—
000001623828
ANTHEM
IN
05
—
100215330
—
IN
Enumeration date
09/15/2006
Last updated
06/17/2025
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