Individual provider Active NPI

Taylor Gale Rathbun, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1407368103
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3062 Kingsdale Ctr
Columbus, OH 43221-2020
Phone
(614) 484-1940
Fax
(614) 484-1941
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3062 Kingsdale Ctr
Columbus, OH 43221-2020

Mailing address

PO Box 714906
Cincinnati, OH 45271-4906
Phone (614) 826-9266

Other practice location 1

4403 Columbia Rd SW
Pataskala, OH 43062-8713
Phone (614) 582-4722

Other identifiers 1

IdentifierTypeStateIssuer
50.005454RXOtherOHLICENSE

Other names 1

  • Miss Taylor Gale Hurl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305000511 OH Practitioner - Physician Assistant 2961763149 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Urgent Care Inc CurrentSince Jul 1, 2023 Accepting new patients
Arlington Urgent Care Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1407368103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714906",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452714906",
            "telephone_number": "614-826-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 KINGSDALE CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212020",
            "telephone_number": "614-484-1940",
            "fax_number": "614-484-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 Columbia Rd SW",
            "address_purpose": "LOCATION",
            "city": "Pataskala",
            "state": "OH",
            "postal_code": "430628713",
            "country_code": "US",
            "telephone_number": "614-582-4722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHBUN",
        "first_name": "TAYLOR",
        "middle_name": "GALE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "50.005454RX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "HURL",
            "middle_name": "GALE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.