Individual provider Active NPI

Wayne R Taylor, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hudson, FL
National Provider Identifier
1619973641
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
ME49872 Issued in FL
Practice address
7525 Medical Dr
Hudson, FL 34667-6502
Phone
(727) 869-5551
Fax
(727) 868-6488
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0049872 FL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME49872 FL Primary

Addresses

Primary practice location

7525 Medical Dr
Hudson, FL 34667-6502

Mailing address

PO Box 23643
Tampa, FL 33623-3643
Phone (727) 869-5551

Other practice location 1

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (727) 869-5551

Other practice location 2

9332 State Road 54 Ste 302
Trinity, FL 34655-1810
Phone (727) 869-5551

Other identifiers 2

IdentifierTypeStateIssuer
010785400MedicaidFL
05605OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049872FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice and Palliative Physician Services, LLC PastSince Dec 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wayne.taylor.1@17797.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1619973641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23643",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336233643",
            "telephone_number": "727-869-5551",
            "fax_number": "727-868-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-869-5551",
            "fax_number": "727-868-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Fivay Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677103",
            "country_code": "US",
            "telephone_number": "727-869-5551",
            "fax_number": "727-868-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9332 State Road 54 Ste 302",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551810",
            "country_code": "US",
            "telephone_number": "727-869-5551",
            "fax_number": "727-868-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WAYNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0049872",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME49872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010785400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "05605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.