Stanford Connolly Taylor, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

DR.0061712 Issued in CO

Practice address

2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183

Phone

(719) 473-9595

Fax

(719) 227-0669

NPI assigned

Apr 6, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Oregon Health Sciences University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants of Southern Colorado P CGroup PAC ID 8123914694, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
• CO HMO
• CO HMO D-SNP
• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: staylor@rcsc.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Consultants of Southern Colorado P C

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1720203862
  Medicare reassignment Care Compare group NPD
• Retina Consultants of Southern Colorado PLLC

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1396389680
  NPD
• Retina Consultants of Southern Colorado P C

  • Ophthalmology Physician
  • Colorado Springs, CO
  • NPI 1831714237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1013250240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091183",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091183",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81008",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10035 Pearl Pass Vw Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809248223",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STANFORD",
        "middle_name": "CONNOLLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-06",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD182284",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0061712",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0061712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013250240",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staylor@rcsc.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2770 N Union Blvd Ste 140",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809091183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Ann Taylor, M.D.
• Rebecca Elizabeth Taylor, L.P.C., N.C.C
• Samantha Taylor
• Shiann Taylor, RBT
• Sophia Taylor
• Susan Taylor
• Tiffany Taylor, ARNP
• Michelle Taynor
• Jacob Tazik, DDS
• Tclllc

• Retina Specialist (Ophthalmology) Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.