Individual provider Active NPI

John D Taylor, PA-C

  • Physician Assistant
  • Ogden, UT
National Provider Identifier
1538176409
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10155413-1206 Issued in UT
Practice address
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone
(801) 475-3200
Fax
(801) 475-3204
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10155413-1206 UT Primary

Addresses

Primary practice location

4650 Harrison Blvd
Ogden, UT 84403-4303

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000120 AZ Practitioner - Physician Assistant 8921041765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2074AZMDOccupational Therapist
10155413-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Physician Assistant Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jun 1, 2018 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jun 1, 2018 Accepting new patients
Strength Training Inc Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Strength Training Inc PastSince Oct 1, 2001 Accepting new patients
Piercey Neurology LLC Past Accepting new patients

Locations

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

199 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 632-2883

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

411 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 474-3556

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

14820 N Del Webb Blvd
Sun City, AZ 85351

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1538176409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3200",
            "fax_number": "801-475-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034303",
            "telephone_number": "801-475-3200",
            "fax_number": "801-475-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10155413-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.