Individual provider Active NPI

Christopher Anthony Taylor, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Kailua, HI
National Provider Identifier
1174605877
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
14322 Issued in HI
Practice address
407 Uluniu St
Suite 201
Kailua, HI 96734-2519
Phone
(808) 261-7246
Fax
(808) 261-7248
NPI assigned
Oct 20, 2006
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 14322 HI
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD-14322 HI
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 14322 HI Primary

Addresses

Primary practice location

407 Uluniu St
Suite 201
Kailua, HI 96734-2519

Mailing address

88 Makaweli St
Honolulu, HI 96825-2147
Phone (808) 234-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20070907000131 HI Practitioner - Physical Medicine and Rehabilitation 2769575760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Pain Sports and Spine Medicine LLCGroup PAC ID 7012045792, 2 clinicians

Practice addresses (Care Compare)

407 Uluniu St
Kailua, HI 96734-2536
Phone (808) 261-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14322HIMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Pain Sports & Spine Medicine LLC Pain Medicine CurrentSince Mar 28, 2010 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated Physical Medicine & Rehabilitation PastSince Sep 8, 2024 Accepting new patients

Locations

407 Uluniu St
Ste 201
Kailua, HI 96734
Phone (808) 261-4321

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1174605877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MAKAWELI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968252147",
            "telephone_number": "808-234-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "SUITE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-261-7246",
            "fax_number": "808-261-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "14322",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "HI",
            "license": "MD-14322",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "HI",
            "license": "14322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.