Thomas M Taylor, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0064670 Issued in FL

Practice address

3514 W Bay to Bay Blvd
Suite 3
Tampa, FL 33629-7018

Phone

(813) 440-2462

Fax

(813) 877-6556

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Indiana University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karon R Locicero MD PAGroup PAC ID 3678593357, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Karon R Locicero MD PA

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1326064890
  Medicare reassignment Care Compare group NPD
• Thomas M. Taylor, MD PA

  • Specialist
  • Tampa, FL
  • NPI 1275501678
  Medicare reassignment NPD Authorized official
• Community Hospital Inc

  • Rural Acute Care Hospital
  • Tallassee, AL
  • NPI 1730120726
  NPD

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1568464931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 W BAY TO BAY BLVD",
            "address_2": "SUITE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297018",
            "telephone_number": "813-440-2462",
            "fax_number": "813-877-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 W BAY TO BAY BLVD",
            "address_2": "SUITE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297018",
            "telephone_number": "813-440-2462",
            "fax_number": "813-877-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0064670",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0064670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377023100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tana Mae Taylor, NP-C
• Tanena T Taylor
• Tarie Taylor
• Tawanna Taylor
• Teri Taylor, LGSW, CCDC
• Tiara Sai Taylor
• Tina M Taylor, ARNP-C
• Wahid Tazudeen, M.D.
• TB Chiropractic Corp
• TB Eye Care PA

• Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.