Active NPI
Eric W Taylor, RPA, RT(R)
- Radiology Practitioner Assistant
- Johnson City, TN
National Provider Identifier
1558622779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- RA0000000005.
- Practice address
- 1301 Sunset Dr
Suite #3
Johnson City, TN 37604-7906 - Phone
- (423) 431-6789
- Fax
- (423) 431-5291
- NPI assigned
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | RA0000000005. | TN | Primary |
Addresses
Primary practice location
1301 Sunset Dr
Suite #3
Johnson City, TN 37604-7906
Mailing address
1301 Sunset Dr
Suite #3
Johnson City, TN 37604-7906
Phone (423) 431-6789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA0000000005. | TN | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1558622779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SUNSET DR",
"address_2": "SUITE #3",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376047906",
"telephone_number": "423-431-6789",
"fax_number": "423-431-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SUNSET DR",
"address_2": "SUITE #3",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376047906",
"telephone_number": "423-431-6789",
"fax_number": "423-431-5291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ERIC",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPA, RT(R)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "TN",
"license": "RA0000000005.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.