Individual provider Active NPI

Paula Flanagan Taylor, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Charleston, WV
National Provider Identifier
1447214325
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
20038 Issued in WV
Practice address
333 Laidley St
Saint Francis First Health Wellness Center
Charleston, WV 25301-1614
Phone
(681) 313-4824
Fax
(681) 313-4825
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20038 WV
Internal Medicine Physician 207R00000X 20036 WV
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 20038 WV Primary

Addresses

Primary practice location

333 Laidley St
Saint Francis First Health Wellness Center
Charleston, WV 25301-1614

Mailing address

205 Cooperhawk Lane
Cross Lanes, WV 25313-1868
Phone (304) 776-6967

Other identifiers 5

IdentifierTypeStateIssuer
1805986-000MedicaidWV
1805986000MedicaidWV
B441OtherWVGROUP MEDICARE
110239880OtherRAILROAD MEDICARE
3810024049OtherWVGROUP MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20171004002591 WV Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6406745298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20036WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Emergency Physicians, Inc Emergency Medicine Past Accepting new patients
Kelly Medical Services Corporation LLC Emergency Medicine Past Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Organizations & group practices 3

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1447214325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COOPERHAWK LANE",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131868",
            "telephone_number": "304-776-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAIDLEY ST",
            "address_2": "SAINT FRANCIS FIRST HEALTH WELLNESS CENTER",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011614",
            "telephone_number": "681-313-4824",
            "fax_number": "681-313-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAULA",
        "middle_name": "FLANAGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "20038",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "20036",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "WV",
            "license": "20038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805986-000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805986000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "B441",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110239880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "3810024049",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.