Marie Muldoon Taylor, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1113 Issued in AK

Practice address

3650 Piper St
Anchorage, AK 99508-4692

Phone

(907) 222-4624

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Marie Muldoon Stuemke Other name

Medicare fee-for-service enrollment

Enrolled in AK, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alaska Radiology Associates Inc

  • Body Imaging Physician
  • Anchorage, AK
  • NPI 1003803214
  Medicare reassignment Care Compare group
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Greatland Mental Health, LLC

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1477743532
  Medicare reassignment
• Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1174573174
  Medicare reassignment
• Diagnostic Imaging Associates of North Jersey PA

  • Radiology Clinic/Center
  • Fair Lawn, NJ
  • NPI 1841381407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1013353408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084692",
            "telephone_number": "907-222-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084692",
            "telephone_number": "907-222-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARIE",
        "middle_name": "MULDOON",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "1113",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "1113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "STUEMKE",
            "middle_name": "MULDOON",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jazmin Nicole Taylor, OTD, OTR
• Jeffery Grant Taylor, MPAS, PA-C
• Kathleen Taylor, R.N.
• Kristen M Taylor, LAC., LMT
• Maria Taylor, CNM
• Mary Ellen Taylor, LMT
• Monique Taylor
• Natalee L Taylor, LMT
• Patricia K Taylor, ANP
• Rebecca Virginia Taylor, D.O.

• Surgical Physician Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.