Individual provider Active NPI

Ronald William Taylor Jr.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Altamonte Springs, FL
National Provider Identifier
1538348479
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS9605 Issued in FL
Practice address
415 Lakepointe Dr
#110
Altamonte Springs, FL 32701-5863
Phone
(407) 401-9408
NPI assigned
Oct 28, 2007
Last updated
Oct 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS9605 FL Primary
Family Medicine Physician 207Q00000X OS9605 FL

Addresses

Primary practice location

415 Lakepointe Dr
#110
Altamonte Springs, FL 32701-5863

Mailing address

415 Lakepointe Dr
#110
Altamonte Springs, FL 32701-5863
Phone (407) 401-9408

Other names 1

  • Dr. R. William Taylor Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000584 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 5294813259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
May accept Medicare assignment
Group practices
River of Life Osteopathic LLCGroup PAC ID 1658548748, 5 clinicians

Practice addresses (Care Compare)

11101 W Colonial Dr
Ocoee, FL 34761-2977
Phone (407) 574-2880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9605FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River of Life Osteopathic LLC Family Medicine CurrentSince Oct 28, 2011 Accepting new patients

Locations

11101 W Colonial Dr
Ocoee, FL 34761
Phone (407) 574-2880

2705 Maguire Rd
Ocoee, FL 34761
Phone (407) 574-2880

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1538348479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAKEPOINTE DR",
            "address_2": "#110",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015863",
            "telephone_number": "407-401-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LAKEPOINTE DR",
            "address_2": "#110",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015863",
            "telephone_number": "407-401-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS9605",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "TAYLOR",
            "middle_name": "WILLIAM",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.