Timothy C Taylor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006752 Issued in MI

Practice address

1174 W Michigan Ave
Marshall, MI 49068-1497

Phone

(269) 781-9867

Fax

(269) 781-9126

NPI assigned

Sep 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11831/brand/1/csg/1/fhir/r4

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.

• Marshall Medical Associates PC

  • Legal Medicine
  • Marshall, MI
  • NPI 1760698971
  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1568898666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681497",
            "telephone_number": "269-781-9867",
            "fax_number": "269-781-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681497",
            "telephone_number": "269-781-9867",
            "fax_number": "269-781-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gigi Sutton, CNM
• Aaron Paul Swift, MSOTRL
• Chloe Swope
• Craig Tank
• Susan Taylor, MSW CSW
• Tendercare Primary Properties Inc.
• Kristin Ann Tenney-Blackwell, M.A., TLLP
• Anoop Thakur, M.D.
• Subhash Thakur, MD
• The Doctors Group P.C.

• Physician Assistant in Marshall, MI
• Providers in Marshall, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.