Roosevelt Taylor Jr., MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D9896 Issued in TX

Practice address

9209 Elam Rd Ste 100
Roosevelt Taylor Jr MD
Dallas, TX 75217-7360

Phone

(214) 391-3700

Fax

(214) 391-7195

NPI assigned

Dec 1, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1659449288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 ELAM RD STE 100",
            "address_2": "ROOSEVELT TAYLOR JR MD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752177360",
            "telephone_number": "214-391-3700",
            "fax_number": "214-391-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 ELAM RD STE 100",
            "address_2": "ROOSEVELT TAYLOR JR MD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752177360",
            "telephone_number": "214-391-3700",
            "fax_number": "214-391-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROOSEVELT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "D9896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121397702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00M973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Taylor, SLP
• Ra'Jardus Taylor
• Rachel Taylor
• Reginald W Taylor, DDS
• Rhoda S Taylor, CRNA
• Ruby L. Taylor, WHCNP
• Ryan B Taylor, DMD
• Sharla R. Taylor, LPC
• Shirley Jean Taylor, LMSW
• Stephanie E Taylor, RN

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.