Organization Active NPI

James E. Taylor Medical Professional Corporation

  • General Practice Physician
  • Valparaiso, IN
National Provider Identifier
1184807406
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01021583 Issued in IN
Legal business name
JAMES E. TAYLOR MEDICAL PROFESSIONAL CORPORATION
Practice address
2102 Evans Ave
Suite 111
Valparaiso, IN 46383-4095
Phone
(219) 464-9521
NPI assigned
Dec 10, 2007
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. James E Taylor, M.D.
Title
President
Phone
(219) 464-9521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01021583 IN Primary

Addresses

Primary practice location

2102 Evans Ave
Suite 111
Valparaiso, IN 46383-4095

Mailing address

2102 Evans Ave
Suite 111
Valparaiso, IN 46383-4095
Phone (219) 464-9521

National Provider Directory

National Provider Directory

Locations

2102 Evans Ave
Ste 111
Valparaiso, IN 46383
Phone (219) 464-9521

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1184807406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 EVANS AVE",
            "address_2": "SUITE 111",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834095",
            "telephone_number": "219-464-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 EVANS AVE",
            "address_2": "SUITE 111",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834095",
            "telephone_number": "219-464-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. TAYLOR MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-9521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01021583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.