Active NPI
Larry D Taylor, M. D.
- Gastroenterology Physician
- Tallahassee, FL
National Provider Identifier
1457301244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME 54101
- Practice address
- 2400 Miccosukee Rd
Tallahassee, FL 32308-5314 - Phone
- (850) 877-2105
- Fax
- (850) 216-1321
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME 54101 | FL | Primary |
Addresses
Primary practice location
2400 Miccosukee Rd
Tallahassee, FL 32308-5314
Mailing address
2400 Miccosukee Rd
Tallahassee, FL 32308-5314
Phone (850) 877-2105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07369 | Other | FL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 54101 | FL | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1457301244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085314",
"telephone_number": "850-877-2105",
"fax_number": "850-216-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085314",
"telephone_number": "850-877-2105",
"fax_number": "850-216-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME 54101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "07369",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.