Organization Active NPI

Dr. Tameka Parham Taylor, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1255708574
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DR. TAMEKA PARHAM TAYLOR, PLLC
Practice address
29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083
Phone
(586) 819-9194
Fax
(586) 693-5640
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Tameka Taylor, DPMNPI 1912143389
Title
Podiatrist
Phone
(586) 693-5638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

29425 Northwestern Hwy Ste 125
Southfield, MI 48034-1083

Mailing address

34421 Fontana Dr
Sterling Heights, MI 48312-5776
Phone (586) 693-5638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151217000135 MI Part B Supplier - Clinic/Group Practice 8325349350 Receives reassigned benefits from 1 practitioner
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1255708574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34421 FONTANA DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125776",
            "telephone_number": "586-693-5638",
            "fax_number": "586-693-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341083",
            "telephone_number": "586-819-9194",
            "fax_number": "586-693-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TAMEKA PARHAM TAYLOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "586-693-5638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.