Organization Active NPI

Taylor Drug Rehab Center PC

Doing business as Taylor Medical Center

  • Family Medicine Physician
  • Taylor, MI
National Provider Identifier
1386974335
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301045243 Issued in MI
Legal business name
TAYLOR DRUG REHAB CENTER PC
Doing business as
Taylor Medical Center
Practice address
7700 Telegraph Rd
Taylor, MI 48180-2236
Phone
(313) 299-0467
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Carl Fowler, M.D.
Title
Medical Doctor
Phone
(313) 299-0467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 4301045243 MI Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 4301045243 MI

Addresses

Primary practice location

7700 Telegraph Rd
Taylor, MI 48180-2236

Mailing address

7700 Telegraph Rd
Taylor, MI 48180-2236

Other names 1

  • TAYLOR MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1386974335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802236",
            "telephone_number": "313-299-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DRUG REHAB CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "313-299-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301045243",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301045243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAYLOR MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.