Active NPI
Robert Taylor, MD, FACS
- Plastic Surgery Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2086S0122X
- Practice address
- 3733 N Business Dr
Suite 102
Fayetteville, AR 72703-5203 - Phone
- (479) 521-1500
- Fax
- (479) 521-5413
- NPI assigned
- Nov 2, 2006
- Last updated
- Nov 12, 2015
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2086S0122X | AR | Primary |
Addresses
Primary practice location
3733 N Business Dr
Suite 102
Fayetteville, AR 72703-5203
Mailing address
3733 N Business Dr
Suite 102
Fayetteville, AR 72703-5203
Phone (479) 521-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120609001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Arkansas College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4803 W Highland Knolls Rd
Rogers, AR 72758-6447
Phone (479) 521-1500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2086S0122X | AR | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Dermatology Associates Inc | Current | Accepting new patients | |
| The Center for Plastic Surgery, PLC | Plastic Surgery | Current | Accepting new patients |
| Fayetteville Plastic Surgery Clinic | Plastic Surgery | Past | Accepting new patients |
| Shiloh Health and Longevity | Past | Accepting new patients |
Locations
3733 N Business Dr
Ste 102
Fayetteville, AR 72703
Phone (479) 521-1500
4803 W Highland Knolls Rd
Ste 300
Rogers, AR 72758
Phone (479) 265-4746
5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864
5969 Cattleridge Blvd
Ste 102
Sarasota, FL 34232
Phone (941) 377-9993
Interoperability endpoints
- rtaylor23205@washingtonregional.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Robert Taylor Plastic Surgery
- Plastic Surgery Physician
- Fayetteville, AR
- NPI 1710291299
-
- MOHS-Micrographic Surgery Physician
- Sarasota, FL
- NPI 1225065741
-
dba Plastic Surgery Clinic of Northwest Arkansas
- Specialist
- Fayetteville, AR
- NPI 1538358247
Plastic Surgery
-
- Clinic/Center
- Fayetteville, AR
- NPI 1871013367
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1447339544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 N BUSINESS DR",
"address_2": "SUITE 102",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035203",
"telephone_number": "479-521-1500",
"fax_number": "479-521-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 N BUSINESS DR",
"address_2": "SUITE 102",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035203",
"telephone_number": "479-521-1500",
"fax_number": "479-521-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AR",
"license": "2086S0122X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120609001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.