NPIMap

Individual provider Active NPI

Donald Alex Taylor, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1568779940
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005856 Issued in MI
Practice address
1200 E Michigan Ave
Suite 530
Lansing, MI 48912-1800
Phone
(517) 364-5880
Fax
(517) 364-5887
NPI assigned
Sep 8, 2010
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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 5601005856 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 530
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Suite 530
Lansing, MI 48912-1800
Phone (517) 364-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000420 MI Practitioner - Physician Assistant 3173711397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1210 W Saginaw St
Lansing, MI 48915-1927

1210 W Saginaw St FL
Lansing, MI 48915-1927

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2016 Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 1, 2016 Accepting new patients
Spectrum Health Primary Care Partners Hospitalist Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Jan 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jul 4, 2011 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Michigan Medical Patient Care Hospitalist Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4085 Burton St SE
Ste 200
Grand Rapids, MI 49546

4100 Lake Dr SE
Ste 202
Grand Rapids, MI 49546
Phone (616) 974-4400

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1200 E Michigan Ave
Ste 530
Lansing, MI 48912
Phone (517) 364-5880

1210 W Saginaw St
Bldg 3
Lansing, MI 48915

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1568779940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 530",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5880",
            "fax_number": "517-364-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 530",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5880",
            "fax_number": "517-364-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DONALD",
        "middle_name": "ALEX",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.