Active NPI
James H Taylor, M.D.
- Procedural Dermatology Physician
- Deland, FL
National Provider Identifier
1083617856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- ME35651
- Practice address
- 600 W Plymouth Ave
Deland, FL 32720-3260 - Phone
- (386) 738-0322
- Fax
- (386) 738-0628
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | ME35651 | FL | Primary |
Addresses
Primary practice location
600 W Plymouth Ave
Deland, FL 32720-3260
Mailing address
600 W Plymouth Ave
Deland, FL 32720-3260
Phone (386) 738-0322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054315200 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Procedural Dermatology | Past | Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Orlando, FL
- NPI 1316105885
-
dba Advanced Dermatology And Cosmetic Surgery
- Dermatology Physician
- Heathrow, FL
- NPI 1528097284
Procedural Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1083617856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203260",
"telephone_number": "386-738-0322",
"fax_number": "386-738-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W PLYMOUTH AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327203260",
"telephone_number": "386-738-0322",
"fax_number": "386-738-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAMES",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME35651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054315200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.