Individual provider Active NPI

Carol S Taylor, MD

  • Anesthesiology Physician
  • Flagstaff, AZ
National Provider Identifier
1164431672
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23743 Issued in AZ
Practice address
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone
(928) 773-2505
Fax
(928) 773-2504
NPI assigned
Aug 5, 2006
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23743 AZ Primary

Addresses

Primary practice location

77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479

Mailing address

4230 E Pontatoc Canyon Dr
Suite 207
Tucson, AZ 85718-5233
Phone (520) 297-8518

Other identifiers 1

IdentifierTypeStateIssuer
349870MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070908000094 AZ Practitioner - Anesthesiology 3274426200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Arizona College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4230 E Pontatoc Canyon Dr
Tucson, AZ 85718-5233
Phone (520) 664-4231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carol S Taylor MD PC Anesthesiology CurrentSince Jul 8, 2016 Accepting new patients
Radius Anesthesia of Arizona PLLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Forest Country Anesthesia, P.C. Anesthesiology Past Accepting new patients

Locations

300 W Clarendon Ave
Ste 230
Phoenix, AZ 85013
Phone (323) 470-0335

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1164431672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 E PONTATOC CANYON DR",
            "address_2": "SUITE 207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185233",
            "telephone_number": "520-297-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE",
            "address_2": "SUITE 207",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011479",
            "telephone_number": "928-773-2505",
            "fax_number": "928-773-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CAROL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "23743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349870",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.