Scott & White Hospital - Taylor
Organization Active NPI Emergency Medicine Physician · Taylor, TX
NPI 1659366557 · NPPES record last updated Jan 22, 2020
Key facts
- NPI
- 1659366557
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 44 (TX)
- Legal business name
- SCOTT & WHITE HOSPITAL - TAYLOR
- Practice address
- 305 Mallard LN
Taylor, TX 76574-1208 - Phone
- (512) 352-7611
- Fax
- (512) 352-4734
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Jay Fox
- Title
- Ceo
- Phone
- (512) 509-0409
Owners & managing parties with NPI records 8
-
Angel Eduardo Caldera, M.D.
-
Mark Wayne English, M.D.
-
Aval NA Ree Sian Green, M.D.
-
Muralidhar Jatla, MD
-
Mark L. Montgomery, M.D.
-
Arundhati Rao, M.D.
Other NPIs on the same Medicare enrollment 2
Related certifications (CCN) 1
Practitioners 2,741
-
Steven Blake Baker, M.D., M.P.H.
-
Robert Lynn Barnes, M.D.
-
Craig David Boyle, D.O.
-
Mary Ellen Chang, DO
-
Jin-Hyuck Choi, MD
-
Timothy Choi, DO
-
Aneta Costa, MD
-
Eric Joseph Daniel, M.D.
-
Celia Cristina Escamilla, M.D.
-
Austin Essenburg, MD
-
William B Ewen, M.D.
-
Ashton Federico, DO
-
Nachiketa Jigyasu Gupta, M.D., PH.D.
-
William Haufe, MD
-
Brian Hawkins, MD
-
Joffre Edward Johnson, M.D.
Affiliated clinicians 159
-
Shema Riaz Ahmad, MD
-
Imo Akpan, M.D.
-
Samantha L Alvarez, PA-C
-
Melissa Sue Angel, NP-C
-
Sandy Itwaru Anne, M.D.
-
Randal L. Aschenbeck, M.D.
-
Mary Joanne Avena, NP-C
-
Paul Bahal, MD
-
Tres Barrera, M.D.
-
Joelle Ione Black, MPAS, PA-C
-
Brandon Alban Browne, M.D.
-
Bryce Bushe, M.D.
-
Angel Eduardo Caldera, M.D.
-
Emily Christen Campos, MSN, APRN, FNP-C
-
Jaime Alberto Caro, PAC
-
Cody Ron Carrier, CRNA
-
Christine K Carter, PA-C
Medicare Care Compare: Hospital
- Listed as
- Baylor Scott & White Medical Center -Taylor
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospital certification: CCN 451374
- Legal name
- SCOTT & WHITE HOSPITAL - TAYLOR
- Doing business as
- BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 20, 2005
- Last certification
- Nov 7, 2025
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Other · Non-profit
- Incorporated
- Oct 20, 1967 in TX
- Enrollment address
- 305 Mallard LN
Taylor, TX 76574-1208
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| William Rogers |
Operational/Managerial Control |
Jul 1, 2015 | |
| Justin Meier |
Operational/Managerial Control |
Feb 9, 2023 | |
| Mark L Montgomery |
Operational/Managerial Control |
Jul 1, 2015 | |
| Morris E Foster |
Operational/Managerial Control |
Jul 1, 2015 | |
| Mark W English |
Operational/Managerial Control |
Jul 1, 2022 | |
| Tresa Muir McNeal |
Operational/Managerial Control |
Nov 30, 2017 | |
| Scott & White Healthcare |
Operational/Managerial Control | Sep 1, 2010 | |
| Thomas Burdett |
Operational/Managerial Control |
Jul 1, 2015 | |
| Terry Maness |
Operational/Managerial Control |
Feb 23, 2019 | |
| Baylor Scott & White Health |
Operational/Managerial Control | Mar 1, 2014 | |
| Dominic Lucia |
Operational/Managerial Control |
Dec 4, 2020 | |
| William D Digaetano |
Operational/Managerial Control |
Jul 1, 2019 | |
| Muralidhar Jatla |
Operational/Managerial Control |
Jul 1, 2023 | |
| Jim Kruse |
Operational/Managerial Control |
Jul 1, 2015 | |
| Nelda Trevino |
Operational/Managerial Control |
Dec 4, 2020 | |
| Jason Cole |
Corporate Director |
Jul 30, 2007 | |
| W-2 Managing Employee |
Jul 30, 2007 | ||
| Operational/Managerial Control |
Jul 30, 2007 | ||
| Aval-NA'Ree S Green |
Operational/Managerial Control |
Jul 1, 2023 | |
| Angel Eduardo Caldera |
Operational/Managerial Control |
Nov 30, 2017 | |
| Arundhati Rao |
Operational/Managerial Control |
Dec 4, 2020 | |
| Kristen Leslie Manos |
Corporate Director |
Jul 1, 2025 | |
| Andra Liemandt |
Operational/Managerial Control |
Jul 1, 2023 | |
| Jarvis Parsons |
Operational/Managerial Control |
Jul 1, 2024 | |
| Megan Kiella |
Corporate Director |
Jul 1, 2025 | |
| Jay Fox |
Corporate Director |
Oct 1, 2014 | |
| W-2 Managing Employee |
Oct 1, 2014 | ||
| Operational/Managerial Control |
Oct 1, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000059 | TX | Part B Supplier - Clinic/Group Practice | 1456246750 |
Receives reassigned benefits from 118 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Taylor, TX |
| O20061104000609 | TX | Part a Provider - Critical Access Hospital | 1456246750 |
Receives reassigned benefits from 91 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Taylor, TX |
National Provider Directory
Locations (25 of 130)
2401 W Glendale Ave
Ste 208
Phoenix, AZ 85021
Phone (602) 424-1868
13001 E 17th Pl
Rm WG109
Aurora, CO 80045
2404 US Highway 19
Holiday, FL 34691
Phone (727) 939-8800
240 Market St
New Albany, OH 43054
401 Wood St
Ste 903
Pittsburgh, PA 15222
1665 Antilley Rd
Ste 150
Abilene, TX 79606
Phone (325) 437-5912
12129 FM 620 N
Ste 600E
Austin, TX 78750
Phone (512) 336-3400
12129 Ranch Road 620 N
#600E
Austin, TX 78750
Phone (512) 336-3400
10815 Ranch Road 2222
Bldg 3A
Austin, TX 78730
Phone (512) 327-4262
200 E Cesar Chavez St
Austin, TX 78701
Phone (512) 654-4100
10815 Ranch Road 2222
Ste A-100
Austin, TX 78730
Phone (512) 327-4262
10815 Ranch Road 2222
Austin, TX 78730
Phone (512) 327-4262
5625 Eiger Rd
Ste 210
Austin, TX 78735
Phone (512) 339-0440
2608 Brockton Dr
Austin, TX 78758
Phone (512) 654-4050
500 W Slaughter LN Ste 100
Austin, TX 78748
5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100
5000 W Slaughter Ln
Bldg 6
Austin, TX 78749
3207 Ranch Road 620 S
Austin, TX 78738
Phone (512) 730-3885
200 E Cesar Chavez St
Ste G140
Austin, TX 78701
Phone (512) 654-4100
500 Canyon Ridge Dr
Ste 208
Austin, TX 78753
Phone (512) 654-7800
5251 W Highway 290
Bldg B
Austin, TX 78735
5251 W Highway 290
Bldg A
Austin, TX 78735
5000 W Slaughter Ln
Ste 100
Austin, TX 78749
Phone (512) 282-2273
5251 W Highway 290
Austin, TX 78735
Phone (512) 654-3000
12129 FM 620 N
Ste 600
Austin, TX 78750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | 44 | TX | Yes |
| Critical Access Hospital | 282NC0060X | 44 | TX |
Addresses
Primary practice location
305 Mallard LN
Taylor, TX 76574-1208
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092021703 | Medicaid | TX |
Other names
- BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR
Other providers in Taylor, TX
- Carly Beverly Robertson
- Kellye Rayann Roper
- Samdumu International LLC
- Virginia K. Schooler
- John A. Schuchmann
- Scott & White Hospital - Taylor
- Scott & White Hospital - Taylor
- Scott & White Hospital - Taylor
- Scott and White Hospital - Taylor
- Sean Patrick Seivert
All providers in Taylor, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.