Flynn a. Taylor, M.D.,P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

014367 Issued in LA

Legal business name

FLYNN A. TAYLOR, M.D.,P.C.

Practice address

412 S Pine St
Deridder, LA 70634-4840

Phone

(337) 463-9890

Fax

(337) 462-9521

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Flynn A Taylor, M.D.

Title

Medical Physician

Phone

(337) 463-9890

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1083935415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344840",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344840",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYNN A. TAYLOR, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "FLYNN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "337-463-9890",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "014367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1186384",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Deridder, LA
• Providers in Deridder, LA by specialty
• Preferred Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.