Active NPI
Lewis D Taylor, PA-C
- Physician Assistant
- Rossville, KS
National Provider Identifier
1336157924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-00653
- Practice address
- 423 N Main St
Rossville, KS 66533-9803 - Phone
- (785) 584-6705
- Fax
- (785) 584-6817
- NPI assigned
- Aug 3, 2006
- Last updated
- Jan 26, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00653 | KS | Primary |
Addresses
Primary practice location
423 N Main St
Rossville, KS 66533-9803
Mailing address
423 N Main St
Rossville, KS 66533-9803
Phone (785) 584-6705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100336570C | Medicaid | KS |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00653 | KS | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1336157924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N MAIN ST",
"city": "ROSSVILLE",
"state": "KS",
"postal_code": "665339803",
"telephone_number": "785-584-6705",
"fax_number": "785-584-6817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N MAIN ST",
"city": "ROSSVILLE",
"state": "KS",
"postal_code": "665339803",
"telephone_number": "785-584-6705",
"fax_number": "785-584-6817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LEWIS",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-00653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100336570C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rossville, KS
- Recover-Care Rossville LLC
- Rossville Family Dental, PA (Rossville Family Dental)
- Rossville Healthcare and Rehabilitation Center, LLC (Rossville Healthcare and Rehabilitation Center)
- Matthew Rod Allen Stillion, DNP, PMHNP-C, FNP-C
- Symphony Mental Health LLC (Symphony Mental Health)
- Elizabeth A Van Vleck, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.