Martin Lee Taylor, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2003-002 Issued in NM

Practice address

914 Pinehurst Road SE
Suite 102
Rio Rancho, NM 87124-2219

Phone

(505) 896-9412

Fax

(505) 896-2505

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• James H. Rice, M.D.,PC

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
  • NPI 1932411220
  Medicare reassignment
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• American Current Care, P.a.

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1730360124
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1093740078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PINEHURST ROAD SE",
            "address_2": "SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINEHURST ROAD SE",
            "address_2": "SUITE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242219",
            "telephone_number": "505-896-9412",
            "fax_number": "505-896-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARTIN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "PA2003-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10752871",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adyson Rose Tarry
• Tasker Hatch Rowan LLC
• Tasker Hatch Rowan LLC
• Sandra L. Tatum, LMHC
• Lydia E Taylor, FSS
• Shane Taylor
• Mbe Sylvester Tayourh, PMHNP
• Teambuilders Behavioral Health, LLC
• Angela M Teertstra, LMSW
• Megan Tetreault

• Surgical Physician Assistant in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Surgical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.