Organization Active NPI

Taylor Family Practice, PA

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1659560944
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2296 Issued in TX
Legal business name
TAYLOR FAMILY PRACTICE, PA
Practice address
2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045
Phone
(281) 359-4220
Fax
(281) 359-4208
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Robin Ward
Title
Billing Manager
Phone
(281) 359-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K2296 TX Primary

Addresses

Primary practice location

2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045

Mailing address

2665 Royal Forest Dr.
Suite B-150
Kingwood, TX 77339-5045
Phone (281) 359-4220

Other identifiers 2

IdentifierTypeStateIssuer
8M1980OtherTXBCBS
0049DFOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702001110 TX Part B Supplier - Clinic/Group Practice 4789661018 Receives reassigned benefits from 1 practitioner
Practice locations: Humble, TX

National Provider Directory

National Provider Directory

Locations

1806 Humble Place Dr
Humble, TX 77338
Phone (281) 359-4220

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

2665 Royal Frst
Ste B150
Kingwood, TX 77339
Phone (281) 359-4220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1659560944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FOREST DR.",
            "address_2": "SUITE B-150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-359-4220",
            "fax_number": "281-359-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FOREST DR.",
            "address_2": "SUITE B-150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-359-4220",
            "fax_number": "281-359-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-359-4220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M1980",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0049DF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.