Individual provider Active NPI

Mark Anthony Taylor II, MD

  • Surgery Physician
  • Great Barrington, MA
National Provider Identifier
1598127235
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
291678 Issued in MA
Practice address
29 Lewis Ave
Great Barrington, MA 01230-1796
Phone
(413) 854-9638
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 291678 MA Primary

Addresses

Primary practice location

29 Lewis Ave
Great Barrington, MA 01230-1796

Mailing address

29 Lewis Ave
Great Barrington, MA 01230-1796
Phone (413) 854-9638

Other identifiers 3

IdentifierTypeStateIssuer
10498706-8905OtherUTSTATE OF UTAH DEPARTMENT OF COMMERCE
291678OtherMAMASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
MCS008640AOtherMAMCSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220816002647 MA Practitioner - General Surgery 9739445362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nevada School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

29 Lewis Ave
Great Barrington, MA 01230-1713
Phone (413) 854-9777

475 Main St
Great Barrington, MA 01230-1822
Phone (413) 854-9900

780 Main St
Great Barrington, MA 01230-2148
Phone (413) 528-8290

780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux78
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291678MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc Multi-Specialty CurrentSince Aug 15, 2022 Accepting new patients
Fairview Hospital CurrentSince Aug 15, 2022 Accepting new patients
Hillcrest Family Health Center Multi-Specialty Past Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

780 Main St
#A
Great Barrington, MA 01230

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: marktaylor@bfs.medalliesdirect.net

Organizations & group practices 4

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.

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1598127235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301796",
            "telephone_number": "413-854-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEWIS AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301796",
            "telephone_number": "413-854-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "291678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE",
            "identifier": "10498706-8905",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE",
            "identifier": "291678",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCSC",
            "identifier": "MCS008640A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.