Individual provider Active NPI

Robert Taylor, MD, FACS

  • Plastic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1447339544
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2086S0122X Issued in AR
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120609001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110128000606 AR Practitioner - Plastic and Reconstructive Surgery 0042499550 Reassigns benefits to 1 organization
I20160321002264 FL Practitioner - Plastic and Reconstructive Surgery 0042499550 Reassigns benefits to 1 organization

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
The Center for Plastic Surgery, PLCGroup PAC ID 4082885405, 2 clinicians

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

ProcedureNumber of procedures
Mastectomy18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2086S0122XARMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Dermatology Associates Inc CurrentSince Nov 25, 2015 Accepting new patients
The Center for Plastic Surgery, PLC Plastic Surgery CurrentSince Jul 11, 2011 Accepting new patients
Fayetteville Plastic Surgery Clinic Plastic Surgery Past Accepting new patients
Shiloh Health and Longevity PastSince Jul 24, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.