Active NPI
Michael D Taylor, MD
- Surgery Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35086752T
- Practice address
- 18101 Lorain Ave
Department of Surgery
Cleveland, OH 44111-5612 - Phone
- (216) 476-7155
- Fax
- (216) 476-7883
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35086752T | OH | Primary |
Addresses
Primary practice location
18101 Lorain Ave
Department of Surgery
Cleveland, OH 44111-5612
Mailing address
20525 Center Ridge Rd
Suite 220
Rocky River, OH 44116-3437
Phone (440) 895-5056
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA4511 | Other | RR MEDICARE GROUP | |
| 129595 | Other | KAISER | |
| P00301523 | Other | RR MEDICARE INDIVIDUAL | |
| 11569145 | Other | CAQH | |
| 1780634279 | Other | GROUP NPI | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| 9273172 | Other | GROUP MEDICARE | |
| 0119204 | Other | GROUP MEDICAID | |
| D368301 | Other | GROUP IND DIAGNOSTICS MED |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35086752T | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Premier Physicians Centers, Inc | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Interoperability endpoints
- mtaylor93464@direct.ccf.org
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Clinical Medical Laboratory
- Westlake, OH
- NPI 1396928883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1447226154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD",
"address_2": "SUITE 220",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163437",
"telephone_number": "440-895-5056",
"fax_number": "440-333-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 LORAIN AVE",
"address_2": "DEPARTMENT OF SURGERY",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115612",
"telephone_number": "216-476-7155",
"fax_number": "216-476-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35086752T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CA4511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "129595",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "P00301523",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11569145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1780634279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ASC MEDICARE",
"identifier": "3610861",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "9273172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0119204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP IND DIAGNOSTICS MED",
"identifier": "D368301",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.