Individual provider Active NPI

Taylor Dawson, MD

  • Interventional Cardiology Physician
  • Traverse City, MI
National Provider Identifier
1396126595
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301108075 Issued in MI
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

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922000645 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133424781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Toledo Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108075MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group CurrentSince Sep 5, 2023 Accepting new patients
Munson Medical Center CurrentSince Sep 5, 2023 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Munson Medical Group Cardiovascular Disease CurrentSince Sep 5, 2023 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.