Individual provider Active NPI

Myiesha D. Taylor, MD

  • Emergency Medicine Physician
  • Sunnyvale, TX
National Provider Identifier
1104990712
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N2833 Issued in TX
Practice address
231 South Collins
Sunnyvale, TX 75182-4624
Phone
(972) 203-6240
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N2833 TX Primary

Addresses

Primary practice location

231 South Collins
Sunnyvale, TX 75182-4624

Mailing address

Dept 960390
Oklahoma City, OK 73196-0390
Phone (877) 485-4474

Other identifiers 2

IdentifierTypeStateIssuer
202828405MedicaidTX
P00915168OtherTXRRMCARE THRU IEPOS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20090512000464 TX Practitioner - Emergency Medicine 4587692454 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76577CAMDPharmacist
N2833TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jun 6, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 16, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 16, 2021 Accepting new patients
Innovative Emergency Physicians of Sunnyvale PA Emergency Medicine Past Accepting new patients
Mesquite Physicians Group, PLLC Emergency Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 W Lyndon B Johnson Fwy
Ste 101B
Irving, TX 75063
Phone (972) 868-4000

4100 Mapleshade Ln
Plano, TX 75093
Phone (917) 216-6285

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1104990712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 960390",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960390",
            "telephone_number": "877-485-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SOUTH COLLINS",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824624",
            "telephone_number": "972-203-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MYIESHA",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N2833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202828405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE THRU IEPOS",
            "identifier": "P00915168",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.