NPIMap

Individual provider Active NPI

David Douglas Taylor, MD

  • Family Medicine Physician
  • Aitkin, MN
National Provider Identifier
1295844199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40821 Issued in MN
Practice address
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone
(218) 927-2121
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40821 MN Primary
Family Medicine Physician 207Q00000X 49600 WI
Family Medicine Physician 207Q00000X 36014 IA

Addresses

Primary practice location

200 Bunker Hill Dr
Aitkin, MN 56431-1865

Mailing address

411 N 6TH St # 1778
Emery, SD 57332-2124
Phone (317) 432-0940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000744 MN Practitioner - Family Practice 1456302090 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Practice addresses (Care Compare)

200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone (218) 927-2121

601 Bunker Hill Dr
Aitkin, MN 56431-1864
Phone (218) 394-2490

Hospital & facility affiliations

  • Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40821MNMDFamily Medicine Physician
49600WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Dec 18, 2018 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

4855 W Arrowhead Rd
#3764
Hermantown, MN 55811
Phone (218) 725-3540

211 S Boundary Ave
Proctor, MN 55810
Phone (218) 624-4818

Interoperability endpoints

  • Direct secure messaging: dtaylor114762@uihcdirect.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverwood Health Care CenterAitkin, MN, CCN 241305 Hospital Corporate Officer Dec 17, 2018
Riverwood Healthcare CenterAitkin, MN, CCN 24Z305 Hospital Corporate Officer Dec 17, 2018
Riverwood Healthcare CenterAitkin, MN, CCN 243406 Rural health clinic Corporate Officer Dec 17, 2018
Riverwood McGregor ClinicMcGregor, MN, CCN 243407 Rural health clinic Corporate Officer Dec 17, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295844199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N 6TH ST # 1778",
            "city": "EMERY",
            "state": "SD",
            "postal_code": "573322124",
            "telephone_number": "317-432-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "40821",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49600",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.