Mark B Taylor, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

158056-1205 Issued in UT

Practice address

440 W 200 S
Suite 250
Salt Lake City, UT 84101-1345

Phone

(801) 595-1600

Fax

(801) 364-0423

NPI assigned

Jul 8, 2013

Last updated

Jul 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 13, 2017 through Dec 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Aestheetic Institute& Laser Center

  • Special Hospital
  • Salt Lake City, UT
  • NPI 1124208343
  NPD (past) Authorized official
• Gateway Aesthetic Institute & Laser Center

  • Rural Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1124298203
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1528409471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W 200 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011462",
            "telephone_number": "801-595-1600",
            "fax_number": "801-364-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W 200 S",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011345",
            "telephone_number": "801-595-1600",
            "fax_number": "801-364-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "158056-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Taylor
• Lindsay E Taylor
• Lisa Taylor
• Luke Robert Taylor, MD
• Mark Andrew Taylor, FNP-C
• Mark Ross Taylor, D.D.S.
• Matthew Taylor
• Megan Leigh Pales Taylor
• Michelle Ann Taylor
• Nancy H Taylor

• Dermatology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.