Individual provider Active NPI

Taylor Ann Lin, M.D.

  • Pediatric Allergy/Immunology Physician
  • Ann Arbor, MI
National Provider Identifier
1346602448
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
DR.0062455 Issued in CO
Practice address
4350 Jackson Rd
Suite 260
Ann Arbor, MI 48103
Phone
(734) 434-3007
Fax
(734) 434-6212
NPI assigned
Mar 28, 2016
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Allergy/Immunology Physician 2080P0201X DR.0062455 CO Primary
Pediatric Allergy/Immunology Physician 2080P0201X 4301503961 MI

Addresses

Primary practice location

4350 Jackson Rd
Suite 260
Ann Arbor, MI 48103

Mailing address

4350 Jackson Rd
Suite 370
Ann Arbor, MI 48103
Phone (734) 434-3007

Other practice location 1

2746 S Spurway Dr
Ann Arbor, MI 48105-2293
Phone (231) 838-1404

Other names 1

  • Taylor Ann Swabash Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802003091 MI Practitioner - Allergy/Immunology 4789959453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Immunology Associates of Ann Arbor, PCGroup PAC ID 0648239343, 6 clinicians

Practice addresses (Care Compare)

32270 Telegraph Rd
Suite 175
Bingham Farms, MI 48025-2407
Phone (248) 932-0082

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062455COMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Immunology Associates of Ann Arbor, P.C. Pediatric Allergy/Immunology CurrentSince Aug 1, 2021 Accepting new patients

Locations

4350 Jackson Rd
Ste 260
Ann Arbor, MI 48103
Phone (313) 434-3007

4350 Jackson Rd
Ste 370
Ann Arbor, MI 48103

32270 Telegraph Rd
Ste 175
Bingham Farms, MI 48025
Phone (248) 723-0817

26850 Providence Pkwy
Ste 503
Novi, MI 48374
Phone (248) 349-5752

2000 N Huron River Dr
Ste 200
Ypsilanti, MI 48197
Phone (734) 434-3007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1346602448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD",
            "address_2": "SUITE 370",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-434-3007",
            "fax_number": "734-434-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD",
            "address_2": "SUITE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-434-3007",
            "fax_number": "734-434-6212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2746 S Spurway Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052293",
            "country_code": "US",
            "telephone_number": "231-838-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CO",
            "license": "DR.0062455",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MI",
            "license": "4301503961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SWABASH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.