Individual provider Active NPI

Michelle P Taylor, PA-C

  • Medical Physician Assistant
  • Wheat Ridge, CO
National Provider Identifier
1114178662
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2669 Issued in CO
Practice address
8550 W 38TH Ave
Suite 205
Wheat Ridge, CO 80033-4300
Phone
(303) 467-8987
Fax
(303) 467-9510
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2669 CO Primary
Surgical Physician Assistant 363AS0400X 2669 CO

Addresses

Primary practice location

8550 W 38TH Ave
Suite 205
Wheat Ridge, CO 80033-4300

Mailing address

8550 W 38TH Ave
Suite 205
Wheat Ridge, CO 80033-4300
Phone (303) 467-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014505NYMDPhysical Therapist
2669COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Simms Crossing Family Practice Inc PastSince Jul 30, 2013 Accepting new patients
Northwest Surgical Associates PC PastSince Apr 1, 2006 Accepting new patients
Elane Shirar MD Inc PastSince Nov 1, 1999 Accepting new patients
Bryan G Baer, MD, Prof LLC Past Accepting new patients
Flatirons Family Practice Inc PastSince Jan 9, 2011 Accepting new patients

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1114178662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W 38TH AVE",
            "address_2": "SUITE 205",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334300",
            "telephone_number": "303-467-8987",
            "fax_number": "303-467-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 W 38TH AVE",
            "address_2": "SUITE 205",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334300",
            "telephone_number": "303-467-8987",
            "fax_number": "303-467-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2669",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.