Active NPI
Barry E. Taylor, MD
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1245279728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35049631
- Practice address
- 105 Sugar Camp Cir
Suite 140
Dayton, OH 45409-1962 - Phone
- (937) 395-3622
- Fax
- (937) 395-3646
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35049631 | OH | Primary |
Addresses
Primary practice location
105 Sugar Camp Cir
Suite 140
Dayton, OH 45409-1962
Mailing address
105 Sugar Camp Cir
Suite 140
Dayton, OH 45409-1962
Phone (937) 395-3622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0590374 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 20, 2017 through Feb 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Medical Centers of Ohio | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
105 Sugar Camp Cir
Ste 140
Oakwood, OH 45409
Phone (937) 395-3622
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Oakwood, OH
- NPI 1275129272
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1245279728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SUGAR CAMP CIR",
"address_2": "SUITE 140",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091962",
"telephone_number": "937-395-3622",
"fax_number": "937-395-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SUGAR CAMP CIR",
"address_2": "SUITE 140",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091962",
"telephone_number": "937-395-3622",
"fax_number": "937-395-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "BARRY",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35049631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0590374",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.