Individual provider Active NPI

Taylor C Cedar, PA

  • Physician Assistant
  • Newburyport, MA
National Provider Identifier
1174867774
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4576 Issued in MA
Practice address
25 Highland Ave
Newburyport, MA 01950-3867
Phone
(978) 463-1050
NPI assigned
Nov 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4576 MA Primary

Addresses

Primary practice location

25 Highland Ave
Newburyport, MA 01950-3867

Mailing address

350 Osgood St
North Andover, MA 01845-2907
Phone (978) 682-2106

Other practice location 1

780 Albany St
Boston, MA 02118-2755
Phone (856) 654-1000

Other practice location 2

2100 Dorchester Ave
Dorchester, MA 02124-5615
Phone (617) 506-4444

Other identifiers 1

IdentifierTypeStateIssuer
PA4576OtherMALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130305000589 MA Practitioner - Physician Assistant 4981859576 Reassigns benefits to 2 organizations
I20250729003756 NH Practitioner - Physician Assistant 4981859576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Seacoast Emergency Physicians, PCGroup PAC ID 9234108200, 49 clinicians
Ocumed LLCGroup PAC ID 7719410018, 31 clinicians

Practice addresses (Care Compare)

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

701 Central Ave
Dover, NH 03820-3403
Phone (603) 609-6700

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-5252

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

Interoperability endpoints

  • Direct secure messaging: cedar.taylor.wdh@direct.partners.masshiway.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1174867774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OSGOOD ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452907",
            "telephone_number": "978-682-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGHLAND AVE",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503867",
            "telephone_number": "978-463-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "856-654-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Dorchester Ave",
            "address_purpose": "LOCATION",
            "city": "Dorchester",
            "state": "MA",
            "postal_code": "021245615",
            "country_code": "US",
            "telephone_number": "617-506-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDAR",
        "first_name": "TAYLOR",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA4576",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.