Individual provider Active NPI

Steven James Taylor, MD

  • Emergency Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1689698920
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
006754 Issued in SC
Practice address
2094 Country Manor Dr
Mount Pleasant, SC 29466-7411
Phone
(843) 884-0073
Fax
(843) 884-0203
NPI assigned
Jul 27, 2006
Last updated
Mar 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 006754 SC Primary

Addresses

Primary practice location

2094 Country Manor Dr
Mount Pleasant, SC 29466-7411

Mailing address

2094 Country Manor Dr
Mount Pleasant, SC 29466-7411
Phone (843) 884-0073

Other identifiers 1

IdentifierTypeStateIssuer
067545MedicaidSC

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
6754SCMDCounselor
006754SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Emergency Services LLC Emergency Medicine Current Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine Past Accepting new patients
Roper Hospital, Inc. Past Accepting new patients
Concentra Primary Care PA Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1689698920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 COUNTRY MANOR DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667411",
            "telephone_number": "843-884-0073",
            "fax_number": "843-884-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 COUNTRY MANOR DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667411",
            "telephone_number": "843-884-0073",
            "fax_number": "843-884-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "006754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067545",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.