Kofi Shaw-Taylor MD PA Westside Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KOFI SHAW-TAYLOR MD PA WESTSIDE MEDICAL GROUP

Practice address

2600 Liberty Heights Ave
Baltimore, MD 21215-7804

Phone

(410) 922-7382

Fax

(410) 922-7384

NPI assigned

Jul 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kofi Shaw-Taylor, MD

Title

Owner

Phone

(410) 922-7382

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambalavanan Balasubramanian, MD

  • Internal Medicine Physician
  • Randallstown, MD
  • NPI 1184799066
  NPD (past)
• Valeria D Hairston, DPM

  • Podiatrist
  • Milwaukee, WI
  • NPI 1669445037
  NPD (past)

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1265662795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 KEY HIGHWAY",
            "address_2": "STE 211 BLDG 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21230",
            "telephone_number": "410-922-7382",
            "fax_number": "410-922-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157804",
            "telephone_number": "410-922-7382",
            "fax_number": "410-922-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOFI SHAW-TAYLOR MD PA WESTSIDE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SHAW-TAYLOR",
        "authorized_official_first_name": "KOFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-922-7382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Koenigsberg, RN
• Filomena R Koenigsberg, NP
• Kimberly Beth Koerner, LCSW-C
• Michael Koerner
• Miranda M Garay Kofeldt, PHD
• Grace Kofie
• Allyn Jordan Koger I, P.T.
• Anthony J Koger
• Julia Renee Koger, PA-C
• Mary Elizabeth Kogler-Gladu, PTA

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.