Individual provider Active NPI

Barry E. Taylor, MD

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1245279728
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35049631 Issued in OH
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

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0590374MedicaidOH

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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Executive Medical Centers of Ohio Internal Medicine CurrentSince Dec 22, 2020 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.

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

Verify at the official NPI Registry.