NPIMap

Individual provider Active NPI

Grant M Taylor, D.O.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1417963349
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41054 Issued in CO
Practice address
1523 Miramont Dr
Fort Collins, CO 80524-1959
Phone
(970) 556-8306
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41054 CO Primary

Addresses

Primary practice location

1523 Miramont Dr
Fort Collins, CO 80524-1959

Mailing address

1523 Miramont Dr
Fort Collins, CO 80524-1959
Phone (970) 556-8306

Other identifiers 2

IdentifierTypeStateIssuer
P00689871OtherCORAILROAD MEDICARE
33707065MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000829 CO Practitioner - Family Practice 4082501242 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4593

4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Phone (910) 821-4288

702 -A W Drake Rd
Fort Collins, CO 80526-5521
Phone (970) 821-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41054COMDFamily Medicine Physician
3886OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huerfano County Hospital District CurrentSince Feb 10, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 16, 2015 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Apr 16, 2015 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Aug 1, 2012 Accepting new patients
Huerfano County Hospital District CurrentSince Jun 18, 2022 Accepting new patients
Huerfano County Hospital District Current Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients
Nemri Medical Services, Inc. Family Medicine Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients

Locations

702 W Drake Rd
Ste A
Fort Collins, CO 80526
Phone (970) 229-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

23450 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-4588

23500 US Highway 160
Ste 105
Walsenburg, CO 81089

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

23400 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-4588

Interoperability endpoints

  • Direct secure messaging: grant.taylor.md@direct.sprhc.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1417963349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 MIRAMONT DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805241959",
            "telephone_number": "970-556-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 MIRAMONT DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805241959",
            "telephone_number": "970-556-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GRANT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00689871",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33707065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.