Individual provider Active NPI

Kenneth W Taylor, M.D.

  • Orthopaedic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1376561902
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME73286 Issued in FL
Practice address
4400 Sheridan St
Hollywood, FL 33021-3514
Phone
(954) 963-3500
Fax
(954) 964-2049
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME73286 FL Primary

Addresses

Primary practice location

4400 Sheridan St
Hollywood, FL 33021-3514

Mailing address

4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 963-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040406000050 FL Practitioner - Orthopedic Surgery 0244223386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Boston University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Institute of Orthopaedic Specialties LLCGroup PAC ID 3779576814, 4 clinicians

Practice addresses (Care Compare)

4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 963-3500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Institute of Orthopaedic Specialties LLC Orthopaedic Surgery CurrentSince Oct 1, 2003 Accepting new patients
Total MRI & Diagnostic Center PastSince Feb 1, 2021 Accepting new patients
Broward Institute of Orthopaedic Specialties LLC Orthopaedic Surgery Past Accepting new patients

Locations

4440 Sheridan St
Ste B
Hollywood, FL 33021
Phone (786) 756-3038

4400 Sheridan St
Hollywood, FL 33021
Phone (954) 963-3500

601 N Flamingo Rd
Ste 101
Pembroke Pnes, FL 33028
Phone (786) 637-3332

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1376561902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-963-3500",
            "fax_number": "954-964-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-963-3500",
            "fax_number": "954-964-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME73286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.