Mary Elizabeth Taylor, PA-C

Primary specialty

SpecialistTaxonomy code 174400000X

License

347 Issued in WV

Practice address

117 7TH Avenue
South Charleston, WV 25303

Phone

(304) 345-2255

Fax

(304) 345-2112

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Charleston Surgical Hospital Healthcare Group, PLLC

  • Surgery Physician
  • Charleston, WV
  • NPI 1285131144
  NPD (past)
• Hospitalist Medicine Physicians of Franklin County, LTD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1326088782
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1053594267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 7TH AVENUE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25303",
            "telephone_number": "304-345-2255",
            "fax_number": "304-345-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 7TH AVENUE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "25303",
            "telephone_number": "304-345-2255",
            "fax_number": "304-345-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Grace Taylor
• Joseph Andrew Taylor
• Kayla Nyelle Taylor
• Krista D Taylor
• Lance Taylor
• Nicole Taylor
• Sarah Yates Taylor, O.D.
• Stacha Taylor
• Travis Taylor, O.D.
• Ashlee Teel

• Specialist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.