Active NPI
William Clifford Taylor, M.D.
- Pediatrics Physician
- Salisbury, MD
National Provider Identifier
1063508539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0038162
- Practice address
- 106 Milford St. Ste 201
Salisbury, MD 21804 - Phone
- (410) 543-1952
- Fax
- (410) 543-8497
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0038162 | MD | Primary |
Addresses
Primary practice location
106 Milford St. Ste 201
Salisbury, MD 21804
Mailing address
106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone (410) 543-1616
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114518 | Other | MD | COVENTRY |
| 52412402 | Other | MD | BLUE CROSS BLUE SHIELD |
| 072831400 | Medicaid | MD | |
| G1130001 | Other | MD | BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0038162 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Pediatric & Adolescent Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Salisbury, MD
- NPI 1699894857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1063508539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MILFORD ST STE 201",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046959",
"telephone_number": "410-543-1616",
"fax_number": "410-543-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MILFORD ST. STE 201",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-543-1952",
"fax_number": "410-543-8497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "WILLIAM",
"middle_name": "CLIFFORD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0038162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "114518",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52412402",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072831400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "G1130001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.