Individual provider Active NPI

Steven Jared Taylor, D.O.

  • Internal Medicine Physician
  • Camp Verde, AZ
National Provider Identifier
1023496734
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
007740 Issued in AZ
Practice address
1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958
Phone
(928) 639-5555
NPI assigned
May 13, 2015
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 007740 AZ Primary

Addresses

Primary practice location

1298 W Finnie Flat Rd
Camp Verde, AZ 86322-5958

Mailing address

355 S 12TH St
Apt B1
Cottonwood, AZ 86326-3465
Phone (208) 790-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20190125000893 AZ Practitioner - Internal Medicine 3577800747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1298 W Finnie Flat Rd
Suite 101
Camp Verde, AZ 86322-5958
Phone (928) 639-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2018 Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Camp Verde Family Health LLC PastSince Nov 1, 2018 Accepting new patients

Locations

1298 W Finnie Flat Rd
Ste 101
Camp Verde, AZ 86322
Phone (928) 639-5555

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

Organizations & group practices 4

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1023496734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 S 12TH ST",
            "address_2": "APT B1",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263465",
            "telephone_number": "208-790-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 W FINNIE FLAT RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863225958",
            "telephone_number": "928-639-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEVEN",
        "middle_name": "JARED",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "007740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

Verify at the official NPI Registry.