Active NPI
Paula Flanagan Taylor, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charleston, WV
National Provider Identifier
1447214325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 20038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1805986-000 | Medicaid | WV | |
| 1805986000 | Medicaid | WV | |
| B441 | Other | WV | GROUP MEDICARE |
| 110239880 | Other | RAILROAD MEDICARE | |
| 3810024049 | Other | WV | GROUP 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171004002591 | WV | Order and Referring Only - Internal Medicine | 6406745298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20036 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Welch, WV
- NPI 1033154810
-
- Emergency Medicine Physician
- Huntington, WV
- NPI 1649384660
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.