Active NPI
Deshawn Taylor, M.D.
- Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1073753570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 41803
- Practice address
- 1526 W Glendale Ave
Suite 109
Phoenix, AZ 85021-8576 - Phone
- (480) 447-8857
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 14659 | NV | |
| Gynecology Physician | 207VG0400X | 41803 | AZ | Primary |
| Gynecology Physician | 207VG0400X | A83243 | CA |
Addresses
Primary practice location
1526 W Glendale Ave
Suite 109
Phoenix, AZ 85021-8576
Mailing address
P.O. Box 685
None
Waddell, AZ 85355
Phone (480) 447-8857
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 |
|---|---|---|---|
| 41803 | AZ | MD | Gynecology Physician |
| A83243 | CA | MD | Gynecology Physician |
| 14659 | NV | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Star Institute for Family Planning Inc | Gynecology | Current | Accepting new patients |
Interoperability endpoints
- deshawn.taylormd.p1@direct.plannedparenthoodla.nextgenshare.com
- deshawn.taylor.1@17105.direct.athenahealth.com
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.
-
- Ambulatory Family Planning Facility
- Phoenix, AZ
- NPI 1225874233
Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1073753570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 685",
"address_2": "NONE",
"city": "WADDELL",
"state": "AZ",
"postal_code": "85355",
"telephone_number": "480-447-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 W GLENDALE AVE",
"address_2": "SUITE 109",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218576",
"telephone_number": "480-447-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DESHAWN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "14659",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "41803",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A83243",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.