NPIMap

Individual provider Active NPI

Jay Daniel Taylor, MD

  • Family Medicine Physician
  • Conrad, MT
National Provider Identifier
1376532309
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10678 Issued in MT
Practice address
809 Sunset Blvd
Conrad, MT 59425-1799
Phone
(406) 271-3231
Fax
(406) 271-3576
NPI assigned
Oct 21, 2005
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10678 MT Primary

Addresses

Primary practice location

809 Sunset Blvd
Conrad, MT 59425-1799

Mailing address

805 Sunset Blvd
P O Box 758
Conrad, MT 59425-0758
Phone (406) 271-3231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Logan Health - Conrad

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20051110000556 MT Practitioner - Family Practice 4587654538 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Colorado School of Medicine, Denver, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - ConradGroup PAC ID 8921917501, 25 clinicians

Practice addresses (Care Compare)

805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425-1799
Phone (406) 271-3231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10678MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Sep 1, 2015 Accepting new patients
Pondera Medical Center O CurrentSince Sep 1, 2005 Accepting new patients
Logan Health - Conrad CurrentSince Sep 1, 2005 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Sep 1, 2015 Accepting new patients
Logan Health - Shelby CurrentSince Sep 1, 2005 Accepting new patients
Logan Health - Conrad CurrentSince Sep 1, 2005 Accepting new patients
Logan Health - Conrad Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

805 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Logan Health - ConradConrad, MT, CCN 275119 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2008
Jan 1, 2008

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 9

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 9

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1376532309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "address_2": "P O BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-3231",
            "fax_number": "406-271-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SUNSET BLVD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251799",
            "telephone_number": "406-271-3231",
            "fax_number": "406-271-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Conrad",
            "address_1": "809 Sunset Blvd",
            "city": "Conrad",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594251799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conrad, MT

Sources for this page

Verify at the official NPI Registry.