Individual provider Active NPI

Randy Taylor, M.D.,PH.D

  • Specialist
  • Littleton, CO
National Provider Identifier
1083726160
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
44681 Issued in CO
Practice address
7851 S Elati St Ste 102
Littleton, CO 80120-8081
Phone
(303) 798-1309
Fax
(303) 798-2319
NPI assigned
Aug 31, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 44681 CO Primary

Addresses

Primary practice location

7851 S Elati St Ste 102
Littleton, CO 80120-8081

Mailing address

7851 S Elati St Ste 102
Littleton, CO 80120-8081
Phone (303) 798-1309

Other practice location 1

15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone (303) 798-1309

Other practice location 2

15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone (303) 798-1309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000181 CO Practitioner - Otolaryngology 4587669189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Minnesota Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgone PCGroup PAC ID 9032002985, 39 clinicians

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 208
Lone Tree, CO 80124-5525
Phone (303) 535-5350

1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1255
Phone (303) 839-5669

7851 S Elati St
Suite 102
Littleton, CO 80120-8081
Phone (303) 798-1309

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44681COMDSpecialist
44661COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgone, PC CurrentSince Sep 15, 2022 Accepting new patients
Surgone, PC Specialist Current Accepting new patients
Trauma and Emergency Subspecialty Surgeons PLLC Past Accepting new patients

Locations

1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669

3333 S Bannock St
Ste 350
Englewood, CO 80110
Phone (303) 957-1310

7851 S Elati St
Ste 102
Littleton, CO 80120
Phone (303) 798-1309

Interoperability endpoints

  • Direct secure messaging: randy.taylor@surgone.directbygreenway.com
  • Direct secure messaging: randytaylor@centhnspc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083726160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 S ELATI ST STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208081",
            "telephone_number": "303-798-1309",
            "fax_number": "303-798-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 S ELATI ST STE 102",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208081",
            "telephone_number": "303-798-1309",
            "fax_number": "303-798-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W Dry Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204427",
            "country_code": "US",
            "telephone_number": "303-798-1309",
            "fax_number": "303-798-2319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Dry Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204427",
            "country_code": "US",
            "telephone_number": "303-798-1309",
            "fax_number": "303-798-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "44681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.