Active NPI
John D Taylor, PA-C
- Physician Assistant
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10155413-1206
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074 | AZ | MD | Occupational Therapist |
| 10155413-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Physician Assistant | Current | Accepting new patients |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Current | Accepting new patients | |
| Strength Training Inc | Past | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Past | Accepting new patients | |
| Strength Training Inc | Past | 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
- 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.
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1376574707
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Physician Assistant
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1043910078
-
- Ophthalmology Physician
- Safford, AZ
- NPI 1649202771
-
- Neurology Physician
- Corvallis, OR
- NPI 1164720942
-
- Customized Equipment (DME)
- Phoenix, AZ
- NPI 1356552996
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518925569
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.