Active NPI
Vernon Taylor Jr., MD
- Emergency Medicine Physician
- Evansville, IN
National Provider Identifier
1346209798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01037686A
- Practice address
- 600 Mary Street
Evansville, IN 47747-0001 - Phone
- (812) 450-3405
- Fax
- (812) 450-3099
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01037686A | IN | Primary |
Addresses
Primary practice location
600 Mary Street
Evansville, IN 47747-0001
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-3405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100337540B | Medicaid | IN | |
| 352125229 | Other | IN | TAX ID |
| 100337540 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01037686A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc | Current | Accepting new patients |
Locations
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
611 Harriet St
#501
Evansville, IN 47710
Phone (812) 450-7700
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.
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1922036805
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1346209798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "812-450-3405",
"fax_number": "812-450-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY STREET",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477470001",
"telephone_number": "812-450-3405",
"fax_number": "812-450-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "VERNON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01037686A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100337540B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "352125229",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100337540",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.