Taylor S Kasper, PA-C
Individual provider Active NPI Physician Assistant · Lexington, MI
NPI 1124547971 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1124547971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601008338 (MI)
- Practice address
- 5730 Main St
Lexington, MI 48450-8800 - Phone
- (810) 696-2088
- Fax
- (810) 696-2094
- NPI assigned
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family First Health Care Yale PLLC
Practice addresses (Care Compare)
5730 Main St
Lexington, MI 48450-8800
Phone (810) 696-2088
7470 Brockway Rd
Brockway, MI 48097-3458
Phone (810) 387-9355
Hospital & facility affiliations
- McLaren Home Health
- McLaren Port Huron
- McKenzie Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171009000307 | MI | Practitioner - Physician Assistant | 7416222013 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008338 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Health Care-Yale, PLLC | Current |
Accepting new patients |
Locations
7470 Brockway Rd
Brockway, MI 48097
Phone (810) 387-3211
5730 Main St
Lexington, MI 48450
Phone (810) 359-2605
Interoperability endpoints
- kaspertaylor@ffhcp-mi.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008338 | MI | Yes |
Addresses
Primary practice location
5730 Main St
Lexington, MI 48450-8800
Mailing address
7470 Brockway Rd
Brockway, MI 48097-3458
Phone (810) 387-9355
Other practice location 1
7470 Brockway Rd
Brockway, MI 48097-3458
Phone (810) 387-9355
Other providers in Lexington, MI
- Rylee Nicole Johnston
- Theresa Jorde
- Michael Ray Jowan
- Megan Elizabeth Kacir
- Kyle Kasper
- Laura Ann Kautz
- Lisa Marie Kautz
- Kerry Phipps Counseling LPC LLC
- Anita King
- Timothy Knapp
All providers in Lexington, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.