Active NPI
Jaime C Taylor, PAC
- Medical Physician Assistant
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C02146
- Practice address
- 137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2787 - Phone
- (410) 224-8220
- Fax
- (410) 841-2482
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C02146 | MD | Primary |
Addresses
Primary practice location
137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2787
Mailing address
3100 Wyman Park Drive
Suite 359a
Baltimore, MD 21211
Phone (410) 338-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800
137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2793
Phone (410) 224-8220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02146 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
3100 Wyman Park Dr
Ste 359A
Baltimore, MD 21211
Phone (410) 338-3016
137 Mitchells Chance Rd
Ste 180
Edgewater, MD 21037
Phone (410) 224-8220
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
Interoperability endpoints
- jtaylor6762@direct.hopkinsmedicine.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JHCP Social Worker- 8115 Maple Lawn Blvd. Ste 140
- Clinical Social Worker
- Fulton, MD
- NPI 1689485963
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1467639260
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1396855573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DRIVE",
"address_2": "SUITE 359A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211",
"telephone_number": "410-338-3016",
"fax_number": "410-338-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MITCHELLS CHANCE RD",
"address_2": "SUITE 180",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372787",
"telephone_number": "410-224-8220",
"fax_number": "410-841-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAIME",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C02146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
- Daniel David Sullivan, DPT
- Denise Arundell Swensen, PT
- Hilda Gonzalez Talley
- Nnegadi Tataw, DNP, FNP-BC
- Cynthia Michelle Tawney, ADT 2421
- Thi of Maryland at South River LLC (South River Health and Rehabilitation Center)
- Chelsea Hayes Thompson, MD
- Vivienne Frances Thompson, MS CCC-SLP
- Krystal Veronica Tibbs, CPNP
- Toller Enterprises LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.