Taylor James Travers, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34.015668 Issued in OH

Practice address

5955 Zeamer Ave
Jber, AK 99506-3702

Phone

(907) 580-5556

NPI assigned

Mar 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Emergency Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Peninsula General Hospital IncGroup PAC ID 4587552575, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score

70.59 of 100Reported as group

Quality

83.37

Promoting interoperability

100

Improvement activities

40

Cost

16.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ttravers3686979@ak.providencedirect.org

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.

• Central Peninsula General Hospital Inc.

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1528062429
  Medicare reassignment Care Compare group NPD
• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269

  Emergency Medicine

  Medicare reassignment NPD
• Central Peninsula General Hospital Inc

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1598063927
  NPD
• Central Peninsula General Hospital, Inc

  • Gastroenterology Physician
  • Soldotna, AK
  • NPI 1154194819
  NPD
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD
• North Star Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1144489824
  NPD

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

• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Care Compare affiliation

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1104454024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Hospital Pl",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996696999",
            "country_code": "US",
            "telephone_number": "907-714-4529",
            "fax_number": "907-714-4696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "TAYLOR",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "219658",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttravers3686979@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "250 Hospital Pl",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996696999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melody Megan Thompson, APRN
• Sarah Nicole Thompson, IDMT
• Andrew David Thorsen, DDS
• Tracy L Tomlinson, RPH
• Fernando Ramiro Tovar, MD
• Benjamin G Turner, OT
• Robert Fenton Tyree, M.D.
• Susanne K Vanderbilt, M.D.
• Patricia Vassallo, NP
• Bryce Lowell Veazey, LICSW

• Emergency Medicine Physician in Jber, AK
• Providers in Jber, AK by specialty
• Emergency Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.