Active NPI
Arthur Cortland Taliaferro, MD
- Otolaryngology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME0066602
- Practice address
- 3 San Bartola Dr
St Augustine, FL 32086-5767 - Phone
- (904) 823-8823
- Fax
- (904) 808-8587
- NPI assigned
- Sep 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ME66602 | FL | |
| Otolaryngology Physician | 207Y00000X | ME0066602 | FL | Primary |
Addresses
Primary practice location
3 San Bartola Dr
St Augustine, FL 32086-5767
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040010602 | Other | FL | RR MEDICARE |
| 377005200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of South Florida College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 San Bartola Dr
St Augustine, FL 32086-5767
Phone (904) 823-8823
Hospital & facility affiliations
- Flagler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 356 |
| Removal of skin lesions | 23 |
| Removal of skin cancer | 829 |
| Skin biopsy | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0066602 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Otolaryngology | Current | Accepting new patients |
| N.F.L. Center for Oto-HNS Facial Plastic Surgery P.a. | Otolaryngology | Current | Accepting new patients |
Locations
302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558
15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016
3 San Bartola Dr
St Augustine, FL 32086
Phone (904) 823-8823
160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251
Interoperability endpoints
- ataliaferro744264@direct.shands.ufl.edu
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Otolaryngology/Facial Plastic Surgery Physician
- St Augustine, FL
- NPI 1851325781
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1497859904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW 79TH CT STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165873",
"telephone_number": "305-558-3724",
"fax_number": "786-907-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAN BARTOLA DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865767",
"telephone_number": "904-823-8823",
"fax_number": "904-808-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIAFERRO",
"first_name": "ARTHUR",
"middle_name": "CORTLAND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "FL",
"license": "ME66602",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME0066602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "040010602",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377005200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.