Individual provider Active NPI

Jimmy Taylor, M.D.

  • Hematology & Oncology Physician
  • Salisbury, MD
National Provider Identifier
1528039898
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D29283 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 749-1282
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G161020 CA
Hematology & Oncology Physician 207RH0003X D29283 MD Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 749-1282

Other practice location 1

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 749-1282

Other practice location 2

31515 Rancho Pueblo Rd Ste 202
Temecula, CA 92592
Phone (951) 234-7006

Other practice location 3

31515 Rancho Pueblo Rd Ste 202
Temecula, CA 92592
Phone (951) 234-7006

Other practice location 4

700 West Ave S
LA Crosse, WI 54601-4783
Phone (608) 785-0940

Other identifiers 1

IdentifierTypeStateIssuer
400165600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtaylor1338453@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WI, OH, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040108000950 MD Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2961302856 Reassigns benefits to 1 organization
I20201112000668 WI Practitioner - Hematology/Oncology 2961302856 Reassigns benefits to 1 organization
I20211230001849 OH Practitioner - Medical Oncology 2961302856 Reassigns benefits to 1 organization
I20240816002284 NY Practitioner - Medical OncologyPractitioner - Internal Medicine 2961302856 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G161020CAMDHematology & Oncology Physician
991WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 4, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 21, 2021 Accepting new patients
Ohiohealth Corporation Hematology & Oncology CurrentSince Sep 21, 2021 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Hematology & Oncology CurrentSince Aug 1, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Oct 20, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. CurrentSince Oct 20, 2020 Accepting new patients
Dr. Sajeev Anand, LLC Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

75 Hospital Dr
Ste 170
Athens, OH 45701
Phone (740) 331-7111

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156

800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808

Interoperability endpoints

  • Direct secure messaging: jtaylor262575@direct.llu.edu
  • Direct secure messaging: jtaylor444120@direct.peacehealth.org
  • Direct secure messaging: jtaylor1338453@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1528039898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-749-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-749-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "410-749-1282",
            "fax_number": "410-749-7821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31515 Rancho Pueblo Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "92592",
            "country_code": "US",
            "telephone_number": "951-234-7006",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31515 Rancho Pueblo Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "92592",
            "country_code": "US",
            "telephone_number": "951-234-7006",
            "fax_number": "562-869-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 West Ave S",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546014783",
            "country_code": "US",
            "telephone_number": "608-785-0940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JIMMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G161020",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D29283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400165600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtaylor1338453@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "700 West Ave S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546014783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.