Active NPI
Taylor Dawson, MD
- Interventional Cardiology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301108075
- Practice address
- 1200 Sixth St Ste 200
Traverse City, MI 49684-2369 - Phone
- (231) 935-5800
- Fax
- (231) 935-5799
- NPI assigned
- Jun 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301108075 | MI | |
| Internal Medicine Physician | 207R00000X | 4301108075 | MI | |
| Interventional Cardiology Physician | 207RI0011X | 4301108075 | MI | Primary |
Addresses
Primary practice location
1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Mailing address
1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone (231) 935-5800
Other practice location 1
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2235
Other practice location 2
1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 398-1896
Other practice location 3
1500 E Medical Center Dr
TC 3116, SPC 5368
Ann Arbor, MI 48109-5000
Phone (734) 845-5290
Other practice location 4
617 N Court Ave
Gaylord, MI 49735-1515
Phone (989) 731-9532
Other practice location 5
14695 Lakeshore Dr
Charlevoix, MI 49720
Phone (231) 547-2812
Other practice location 6
704 Oak St
Cadillac, MI 49601-2385
Phone (231) 876-6753
Other practice location 7
809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-6610
Other practice location 8
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6370
Other practice location 9
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-3641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Toledo Medical College, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
1200 6TH St
Suite 200
Traverse City, MI 49684-2369
Phone (231) 935-5800
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Grayling Hospital
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Manistee Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108075 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Internal Medicine | Current | Accepting new patients |
| Munson Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Munson Medical Center | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
2891 Momentum Pl
Chicago, IL 60689
704 Oak St
Cadillac, MI 49601
Phone (231) 876-6753
704 Oak St
Ste 200
Cadillac, MI 49601
Phone (231) 876-6753
14695 Park Ave
Ste B
Charlevoix, MI 49720
Phone (231) 547-8860
224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200
617 N Court Ave
Gaylord, MI 49735
Phone (989) 731-9532
829 N Center Ave
Ste 110
Gaylord, MI 49735
Phone (989) 731-9532
809 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0530
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1205864220
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1396126595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SIXTH ST STE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-935-5800",
"fax_number": "231-935-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SIXTH ST STE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-935-5800",
"fax_number": "231-935-5799"
}
],
"practiceLocations": [
{
"address_1": "224 Park Ave",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "MI",
"postal_code": "496359658",
"country_code": "US",
"telephone_number": "231-352-2235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1345 E Parkdale Ave",
"address_purpose": "LOCATION",
"city": "Manistee",
"state": "MI",
"postal_code": "496609318",
"country_code": "US",
"telephone_number": "231-398-1896",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 E Medical Center Dr",
"address_2": "TC 3116, SPC 5368",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-845-5290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "617 N Court Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351515",
"country_code": "US",
"telephone_number": "989-731-9532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14695 Lakeshore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "49720",
"country_code": "US",
"telephone_number": "231-547-2812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "704 Oak St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496012385",
"country_code": "US",
"telephone_number": "231-876-6753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 E Michigan Ave",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497381417",
"country_code": "US",
"telephone_number": "989-348-6610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842345",
"country_code": "US",
"telephone_number": "231-935-6370",
"fax_number": "231-935-6451",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 S Coral St",
"address_purpose": "LOCATION",
"city": "Kalkaska",
"state": "MI",
"postal_code": "496462503",
"country_code": "US",
"telephone_number": "231-258-3641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "TAYLOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301108075",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301108075",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301108075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.