Individual provider Active NPI

Beth Ann Taylor, MD

  • Gastroenterology Physician
  • Wytheville, VA
National Provider Identifier
1699735720
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101237983 Issued in VA
Practice address
590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094
Phone
(276) 228-2383
Fax
(276) 228-5829
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101237983 VA Primary

Addresses

Primary practice location

590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094

Mailing address

590 W Ridge Rd
Suite E
Wytheville, VA 24382-1094
Phone (276) 228-2383

Other identifiers 6

IdentifierTypeStateIssuer
0101237983OtherSTATE LICENSE#
P00367646OtherRAILROAD MEDICARE #
205716993OtherVATRICARE
248472OtherVABCBS OF VA
DF4627OtherRAILROAD MEDICARE GROUP
C09998OtherVAMEDICARE GROUP #

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
0101237983VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe Gastroenterlogy Gastroenterology PastSince Jan 1, 2007 Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1699735720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD",
            "address_2": "SUITE E",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821094",
            "telephone_number": "276-228-2383",
            "fax_number": "276-228-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD",
            "address_2": "SUITE E",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821094",
            "telephone_number": "276-228-2383",
            "fax_number": "276-228-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101237983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE#",
            "identifier": "0101237983",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00367646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "205716993",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VA",
            "identifier": "248472",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF4627",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C09998",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.