Organization Active NPI

Martha Ann Taylor

  • Sports Medicine (Family Medicine) Physician
  • Vincennes, IN
National Provider Identifier
1457652992
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
01066927A Issued in IN
Legal business name
MARTHA ANN TAYLOR
Practice address
105 Hendron Hills Dr
Vincennes, IN 47591-3638
Phone
(586) 909-1632
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Martha Ann Taylor, MD
Title
Owner
Phone
(586) 909-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 01066927A IN Primary

Addresses

Primary practice location

105 Hendron Hills Dr
Vincennes, IN 47591-3638

Mailing address

105 Hendron Hills Dr
Vincennes, IN 47591-3638
Phone (586) 909-1632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1457652992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HENDRON HILLS DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913638",
            "telephone_number": "586-909-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HENDRON HILLS DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913638",
            "telephone_number": "586-909-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA ANN TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-909-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IN",
            "license": "01066927A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.