Active NPI
Stephens Davis Taylor, MD
- Surgery Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2021-02828
- Practice address
- 910 W 5TH Ave Ste 900
Spokane, WA 99204-2948 - Phone
- (509) 838-2531
- Fax
- (509) 755-6580
- NPI assigned
- Dec 8, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 237957 | MA | |
| Vascular Surgery Physician | 2086S0129X | 4301073233 | MI | |
| Vascular Surgery Physician | 2086S0129X | MD60594978 | WA | |
| Surgery Physician | 208600000X | 2021-02828 | NC | Primary |
Addresses
Primary practice location
910 W 5TH Ave Ste 900
Spokane, WA 99204-2948
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (508) 353-4941
Other practice location 1
1950 NW Myhre Rd Fl 3
Silverdale, WA 98383-7662
Phone (564) 240-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048867 | Medicaid | WA | |
| 515-16227 | Other | AL | BLUE CROSS/BLUE SHIELD |
| 4045741 | Other | AL | AETNA |
| 51553549 | Medicaid | AL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staylor198380@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Vascular Surgery
- Education
- University of Mississippi School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
910 W 5TH Ave
Suite 900
Spokane, WA 99204-2948
PO Box
Franklin, TN 37068-9022
PO Box
Suite 2029
Concrete, WA 98237-2029
Hospital & facility affiliations
- St Michael Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14777 | TN | MD | Social Worker |
| 237957 | MA | MD | Vascular Surgery Physician |
| 4301073233 | MI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Franciscan Medical Group | Past | Accepting new patients | |
| Two Rivers Surgical Associates PLLC | Surgery | Past | Accepting new patients |
| Rockwood Clinic PS | Past | Accepting new patients | |
| Cumberland Surgical, PLLC | Surgery | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
1950 NW Myhre Rd
Silverdale, WA 98383
Phone (560) 240-4000
1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200
910 W 5th Ave
Ste 900
Spokane, WA 99204
Phone (509) 530-5838
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- staylor1642528@direct.trinity-health.org
- staylor403154@direct.wvuhsdirect.com
- staylor109610@surescripts.sfmc.net
Organizations & group practices 10
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1831358282
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1396297487
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1912252693
-
- Surgery Physician
- Clarksville, TN
- NPI 1083732119
-
- Surgery Physician
- Clarksville, TN
- NPI 1073057857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1508841966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649",
"telephone_number": "508-353-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W 5TH AVE STE 900",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042948",
"telephone_number": "509-838-2531",
"fax_number": "509-755-6580"
}
],
"practiceLocations": [
{
"address_1": "1950 NW Myhre Rd Fl 3",
"address_purpose": "LOCATION",
"city": "Silverdale",
"state": "WA",
"postal_code": "983837662",
"country_code": "US",
"telephone_number": "564-240-4200",
"fax_number": "564-240-4299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "STEPHENS",
"middle_name": "DAVIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "237957",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301073233",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD60594978",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2021-02828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2048867",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "515-16227",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4045741",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51553549",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "staylor198380@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1950 NW Myhre Rd Fl 3",
"city": "Silverdale",
"state": "WA",
"country_code": "US",
"postal_code": "983837662",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.