Active NPI
Beth Ann Taylor, MD
- Gastroenterology Physician
- Wytheville, VA
National Provider Identifier
1699735720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101237983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101237983 | Other | STATE LICENSE# | |
| P00367646 | Other | RAILROAD MEDICARE # | |
| 205716993 | Other | VA | TRICARE |
| 248472 | Other | VA | BCBS OF VA |
| DF4627 | Other | RAILROAD MEDICARE GROUP | |
| C09998 | Other | VA | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237983 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wythe County Physician Practices LLC | Past | Accepting new patients | |
| Wythe Gastroenterlogy | Gastroenterology | Past | 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.
-
- Diagnostic Radiology Physician
- Wytheville, VA
- NPI 1457168494
-
- Family Medicine Physician
- Wytheville, VA
- NPI 1780630327
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.