Mitchell D Taylor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103007 Issued in FL

Practice address

6001 Vineland Rd Ste 116
Orlando, FL 32819-7829

Phone

(866) 816-7846

Fax

(954) 458-2928

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAEJAA

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.

• The Brain and Spine Institute Inc

  • Specialist
  • West Palm Beach, FL
  • NPI 1699114074
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1598713083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 53RD ST STE 102",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096354",
            "telephone_number": "866-816-7846",
            "fax_number": "954-458-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "866-816-7846",
            "fax_number": "954-458-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 103rd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322106877",
            "country_code": "US",
            "telephone_number": "866-816-7846",
            "fax_number": "954-458-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Ridge Center Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376416",
            "country_code": "US",
            "telephone_number": "866-816-7846",
            "fax_number": "954-458-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29255 Northwestern Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480345741",
            "country_code": "US",
            "telephone_number": "833-816-7846",
            "fax_number": "248-556-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 N Atlantic Ave Apt 803",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315234",
            "country_code": "US",
            "telephone_number": "407-832-5493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DA5786",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER / LRHSI",
            "identifier": "1497748743",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Alan Taylor, MD
• Michael Taylor, LMT
• Michael Taylor
• Michael Lee Taylor, MOT, OTR/L
• Michelle G Taylor, LCSW
• Naja Taylor
• Natecka Taylor, APRN
• Nathan Taylor, D.M.D
• Nicolas Riou Taylor, PA-C
• Peter D Taylor, MD

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.