Individual provider Active NPI

Angela Taylor, MD

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1487620720
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46842 Issued in CO
Practice address
2030 Mountain View Ave
Suite 540
Longmont, CO 80501-3178
Phone
(303) 951-4059
Fax
(303) 951-4060
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46842 CO Primary

Addresses

Primary practice location

2030 Mountain View Ave
Suite 540
Longmont, CO 80501-3178

Mailing address

2030 Mountain View Ave
Suite 540
Longmont, CO 80501-3178
Phone (303) 951-4059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190628001001 SC Practitioner - Family Practice 2365451408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 847-4559

Hospital & facility affiliations

  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Valley Healthcare Med GRP Family Medicine Past Accepting new patients
Longmont Pulmonary and Critical Care Associates, PC Past Accepting new patients
Burbank East Valley Medical Group Past Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1487620720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 540",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-951-4059",
            "fax_number": "303-951-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 540",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-951-4059",
            "fax_number": "303-951-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.