Organization Active NPI

John D Taylor MD PA

  • Internal Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1376638619
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0430626 Issued in KS
Legal business name
JOHN D TAYLOR MD PA
Practice address
1018 Ohio St
Pittsburg, KS 66762-6437
Phone
(620) 231-5900
Fax
(620) 308-6901
NPI assigned
Oct 3, 2006
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Mr. John D Taylor, MDNPI 1457446791
Title
Physician/Owner
Phone
(620) 231-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0430626 KS Primary

Addresses

Primary practice location

1018 Ohio St
Pittsburg, KS 66762-6437

Mailing address

1018 Ohio St
Pittsburg, KS 66762-6437
Phone (620) 231-5900

Other identifiers 1

IdentifierTypeStateIssuer
200264430AMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1376638619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 OHIO ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626437",
            "telephone_number": "620-231-5900",
            "fax_number": "620-308-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 OHIO ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626437",
            "telephone_number": "620-231-5900",
            "fax_number": "620-308-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D TAYLOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "620-231-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0430626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264430A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.