Taylored Urogyn Care

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

TAYLORED UROGYN CARE

Practice address

2164 Nottoway Drive
Hanover, MD 21076-1095

Phone

(667) 274-3333

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Aisha Khalali Taylor, MDNPI 1336467414

Title

Urogynecologic Specialist

Phone

(312) 450-4883

Specialties & licenses 3

Addresses

Locations

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.

• Aisha Khalali Taylor, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Hanover, MD
  • NPI 1336467414
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1295465714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657G ANNAPOLIS RD # 327",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761262",
            "telephone_number": "667-274-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 NOTTOWAY DRIVE",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761095",
            "telephone_number": "667-274-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORED UROGYN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "KHALALI",
        "authorized_official_title_or_position": "UROGYNECOLOGIC SPECIALIST",
        "authorized_official_telephone_number": "312-450-4883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Ambulatory Surgical Center, LLC
• Summit Peak Recovery LLC
• Sandra Marie Sweet, CPHT
• Ruddy T Tabong
• Aisha Khalali Taylor, M.D.
• The Authentic Corner, LLC
• The Lasik Vision Institute LLC
• The Serenity Community, LLC
• Keshia C Thompson, FNP
• Kevin Anthony Thompson, PHARM D

• Medical Specialty Clinic/Center in Hanover, MD
• Providers in Hanover, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.