Active NPI
Victoria S Taylor, MD
- Pediatrics Physician
- Dayton, OH
National Provider Identifier
1073579587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35049632
- Practice address
- 6551 Centerville Business Pkwy Ste 110
Dayton, OH 45459-2696 - Phone
- (937) 291-6850
- Fax
- (937) 291-6896
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- 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 | 35049632 | OH | Primary |
Addresses
Primary practice location
6551 Centerville Business Pkwy Ste 110
Dayton, OH 45459-2696
Mailing address
4700 Smith Rd
Suite a
Cincinnati, OH 45212-2787
Phone (513) 619-6885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000250494 | Other | OH | ANTHEM PROVIDER NUMBER |
| 2417754 | Medicaid | OH |
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 |
|---|---|---|---|
| 35049632 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1073579587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SMITH RD",
"address_2": "SUITE A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122787",
"telephone_number": "513-619-6885",
"fax_number": "513-533-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 CENTERVILLE BUSINESS PKWY STE 110",
"city": "DAYTON",
"state": "OH",
"postal_code": "454592696",
"telephone_number": "937-291-6850",
"fax_number": "937-291-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "VICTORIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35049632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000250494",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2417754",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.