Individual provider Active NPI

Laura Taylor, M.D.

  • Diagnostic Radiology Physician
  • Tamuning, GU
National Provider Identifier
1104894096
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1749 Issued in GU
Practice address
633 Carols Camacho Rd
Suite 210
Tamuning, GU 96913-3194
Phone
(671) 646-1001
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Imaging Center of Sarasota LLC 14 clinicians
Hospital Specialist Solutions LLC 31 clinicians
Simonmed Imaging Florida LLC 302 clinicians
Shi Specialists LLC 48 clinicians
American Imaging of Southwest Florida, Inc. 14 clinicians
North Walton Rural Hospital LLC 29 clinicians

Practice addresses (Care Compare)

1250 S Tamiami TRL
Sarasota, FL 34239-2221
Phone (941) 951-2100

18 -4436 N Glenwood Rd
Mountain View, HI 96771-8001
Phone (361) 761-1000

23081 Harborview Rd
Port Charlotte, FL 33980-2153
Phone (941) 235-8762

4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

900 S Bryan Rd
Mission, TX 78572-6613
Phone (863) 902-3000

Hospital & facility affiliations

  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL, TX, NC, AZ, OH, SC, VA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20100817000984 HI Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 8 organizations
I20110908002206 FL Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 6 organizations
I20110926000107 TX Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 3 organizations
I20150506000663 NC Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 1 organization
I20150717000547 AZ Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 1 organization
I20181018000235 OH Practitioner - Diagnostic Radiology 3375626518
I20190122000257 SC Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 6 organizations
I20200527003167 VA Practitioner - Diagnostic Radiology 3375626518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1749GUMDDiagnostic Radiology Physician

Practice roles (40 of 42)

OrganizationSpecialtyStatusNew patients
Little River Medical Center Inc CurrentSince Jan 27, 2020 Accepting new patients
Little River Medical Center, Inc CurrentSince Jan 27, 2020 Accepting new patients
MRI Associates of Spring Hill, Inc CurrentSince Aug 1, 2023 Accepting new patients
Mobile X-Ray of Austin Inc CurrentSince Apr 13, 2021 Accepting new patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Jun 18, 2024 Accepting new patients
Modern Mobile Radiology Inc CurrentSince Mar 30, 2025 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Hospital Specialist Solutions, LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
KND Development 59 , LLC CurrentSince Sep 17, 2018 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Nov 15, 2022 Accepting new patients
American Health W LLC CurrentSince Feb 15, 2024 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jan 27, 2020 Accepting new patients
North Walton Rural Hospital, LLC CurrentSince Nov 24, 2024 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jan 27, 2020 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Apr 23, 2022 Accepting new patients
MRI Imaging Center of Fresno, Inc CurrentSince Apr 13, 2021 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Lil Bo Peep 3D-4D Ultrasound and Boutique CurrentSince Oct 1, 2015 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Nov 15, 2022 Accepting new patients
Rapid Radiology, Inc. Diagnostic Radiology CurrentSince Aug 31, 2018 Accepting new patients
MRI Associates of Crystal River CurrentSince Jan 1, 2024 Accepting new patients
Vsi Rad LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Walla Walla Clinic, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Bath County Community Hospital CurrentSince May 1, 2020 Accepting new patients
Pinnacle Healthcare LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Nov 15, 2022 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jun 24, 2022 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Jun 24, 2022 Accepting new patients
Shi Specialists LLC CurrentSince Apr 1, 2024 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jan 27, 2020 Accepting new patients
Mobile X-Rays on Demand Limited Liability Company CurrentSince Oct 5, 2022 Accepting new patients
American Imaging of Southwest Florida,Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Tri-State Medical Alliance LLC CurrentSince Jan 1, 2023 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology PastSince Sep 20, 2022 Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Rockingham Radiologists LTD Diagnostic Radiology Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
National Radiology Consultants, P.a. Diagnostic Radiology Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 67)

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 529-1016

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

5190 SW 8th St
Coral Gables, FL 33134
Phone (305) 445-1585

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

7867 N Kendall Dr
Ste 130
Miami, FL 33156
Phone (305) 274-5959

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

25 S Terry Ave
Ste 220
Orlando, FL 32805
Phone (407) 641-2446

2250 Bedford Rd
Orlando, FL 32803
Phone (407) 303-1766

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 336-7000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1749 GU Primary

Addresses

NPPES NPI Registry

Primary practice location

633 Carols Camacho Rd
Suite 210
Tamuning, GU 96913-3194

Mailing address

PO Box 329
Mountain View, HI 96771-0329
Phone (808) 968-6270

Other names 1

NPPES NPI Registry
  • Dr. Laura Novell Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 28, 2013.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1104894096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "967710329",
            "telephone_number": "808-968-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CAROLS CAMACHO RD",
            "address_2": "SUITE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-646-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NOVELL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.