Active NPI
Joe Robert Taylor, M.D.
- Internal Medicine Physician
- Dickinson, TX
National Provider Identifier
1326447376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E6646
- Practice address
- 5509 Attwater Ave
Carole Young Medical Facility
Dickinson, TX 77539-4157 - Phone
- (409) 948-0001
- Fax
- (409) 945-3758
- NPI assigned
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E6646 | TX | Primary |
Addresses
Primary practice location
5509 Attwater Ave
Carole Young Medical Facility
Dickinson, TX 77539-4157
Mailing address
5509 Attwater Ave
Carole Young Medical Facility
Dickinson, TX 77539-4157
Phone (409) 948-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6646 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1326447376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 ATTWATER AVE",
"address_2": "CAROLE YOUNG MEDICAL FACILITY",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394157",
"telephone_number": "409-948-0001",
"fax_number": "409-945-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 ATTWATER AVE",
"address_2": "CAROLE YOUNG MEDICAL FACILITY",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394157",
"telephone_number": "409-948-0001",
"fax_number": "409-945-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JOE",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E6646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.