Active NPI
Raymond Michael Taylor, MD
- Family Medicine Physician
- Windermere, FL
National Provider Identifier
1295106755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME152884
- Practice address
- 4750 The Grove Dr Ste 250
Windermere, FL 34786-8427 - Phone
- (407) 354-0717
- Fax
- (407) 636-7878
- NPI assigned
- Oct 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | ME152884 | FL | |
| Family Medicine Physician | 207Q00000X | ME152884 | FL | Primary |
Addresses
Primary practice location
4750 The Grove Dr Ste 250
Windermere, FL 34786-8427
Mailing address
4750 The Grove Dr Ste 250
Windermere, FL 34786-8427
Phone (407) 354-0717
Other practice location 1
1855 Knox McRae Dr Ste F
Titusville, FL 32780-5492
Phone (321) 269-2028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH211 | Other | FL | HF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4750 The Grove Dr
Suite 250
Windermere, FL 34786-8427
Phone (407) 635-3270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Exum Chiropractic Clinic, P.a. | Chiropractor | Past | Accepting new patients |
Locations
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
4750 The Grove Dr
Ste 250
Windermere, FL 34786
Phone (407) 354-0717
Organizations & group practices 3
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
- Orlando, FL
- NPI 1568693554
Family Medicine
-
- General Practice Physician
- Seymour, IN
- NPI 1881667285
-
- Chiropractor
- Orlando, FL
- NPI 1912179680
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1295106755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 THE GROVE DR STE 250",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868427",
"telephone_number": "407-354-0717",
"fax_number": "407-636-7878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 THE GROVE DR STE 250",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347868427",
"telephone_number": "407-354-0717",
"fax_number": "407-636-7878"
}
],
"practiceLocations": [
{
"address_1": "1855 Knox McRae Dr Ste F",
"address_purpose": "LOCATION",
"city": "Titusville",
"state": "FL",
"postal_code": "327805492",
"country_code": "US",
"telephone_number": "321-269-2028",
"fax_number": "321-264-0730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "RAYMOND",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "FL",
"license": "ME152884",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME152884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF MA",
"identifier": "PH211",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.