Individual provider Active NPI

Larry Edward Taylor, M.D.

  • Specialist
  • Corbin, KY
National Provider Identifier
1457386609
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23230 Issued in KY
Practice address
1705 Forest Dr
Corbin, KY 40701-2354
Phone
(606) 528-9772
Fax
(606) 528-9242
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 23230 KY Primary

Addresses

Primary practice location

1705 Forest Dr
Corbin, KY 40701-2354

Mailing address

1705 Forest Dr
Corbin, KY 40701-2354
Phone (606) 528-9772

Other identifiers 5

IdentifierTypeStateIssuer
64232309MedicaidKY
000000340508OtherKYBCBS/WOMENS WELLNESS CTR
1398060OtherKYMAILHANDLERS
P00163198OtherKYRAILROAD MEDICARE
C07214OtherKSCHI

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

LicenseStateTypeSpecialty
23230KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Wellness Center of Corbin, PLLC Specialist PastSince Oct 1, 2004 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1457386609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012354",
            "telephone_number": "606-528-9772",
            "fax_number": "606-528-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FOREST DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012354",
            "telephone_number": "606-528-9772",
            "fax_number": "606-528-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LARRY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "23230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64232309",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/WOMENS WELLNESS CTR",
            "identifier": "000000340508",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "1398060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00163198",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHI",
            "identifier": "C07214",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.