Jay Daniel Taylor, MD
Individual provider Active NPI Family Medicine Physician · Conrad, MT
NPI 1376532309 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1376532309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 10678 (MT)
- Practice address
- 809 Sunset Blvd
Conrad, MT 59425-1799 - Phone
- (406) 271-3231
- Fax
- (406) 271-3576
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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 - Conrad
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
- Peace Hospice of Montana
- Pondera Medical Center
- Benefis Hospitals Inc
- Benefis Teton Medical Center
- Logan Health - Shelby
- Great Falls Clinic Hospital
- Pondera Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Logan Health - Conrad |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2008 Jan 1, 2008 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051110000556 | MT | Practitioner - Family Practice | 4587654538 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10678 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty County Hospital and Nursing Home, Inc | Current |
Accepting new patients | |
| Logan Health - Conrad | Current |
Accepting new patients | |
| Pondera Medical Center O | Current |
Accepting new patients | |
| Logan Health - Shelby | Current |
Accepting new patients | |
| Logan Health - Conrad | Current |
Accepting new patients | |
| Liberty County Hospital and Nursing Home, Inc | Current |
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
- krmcmedicalrecords@krhdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10678 | MT | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Logan Health - Conrad |
NPI Registry JSON
{
"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
- Lisa Salois
- Eric Sievers
- Sunrise Counseling
- Sunset Dental Care PC
- Sunset Dental Care PC
- John E Taylor
- TMJ & Sleep Therapy Centre of Montana, Inc
- Kirsten K Townsend
- Utterback RX Inc
- Utterback RX Inc
All providers in Conrad, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.