Organization Active NPI

Linda M Taylor MD LLC

  • Family Medicine Physician
  • Spring Grove, PA
National Provider Identifier
1104009927
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD051656L Issued in PA
Legal business name
LINDA M TAYLOR MD LLC
Practice address
430 N Main St
Spring Grove, PA 17362-1123
Phone
(717) 225-4884
Fax
(717) 225-1666
NPI assigned
Dec 15, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Linda M Taylor, MD
Title
Owner
Phone
(717) 225-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD051656L PA Primary

Addresses

Primary practice location

430 N Main St
Spring Grove, PA 17362-1123

Mailing address

430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 225-4884

Other identifiers 1

IdentifierTypeStateIssuer
088715OtherPAMEDICARE IDENTIFIER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1104009927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MAIN ST",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621123",
            "telephone_number": "717-225-4884",
            "fax_number": "717-225-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MAIN ST",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621123",
            "telephone_number": "717-225-4884",
            "fax_number": "717-225-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA M TAYLOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-15",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-225-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051656L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFIER",
            "identifier": "088715",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.