NPIMap

Individual provider Active NPI

Edward Taylor, P.A.C.

  • Medical Physician Assistant
  • Waldport, OR
National Provider Identifier
1699790022
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01115 Issued in OR
Practice address
920 SW Range Dr
Waldport, OR 97394-9634
Phone
(541) 563-3197
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Pacific Health Services Inc 86 clinicians

Practice addresses (Care Compare)

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Lincoln City, OR, CCN 387077
  • Sacred Heart Home Health Home health agency, Springfield, OR, CCN 387023
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080303000694 OR Practitioner - Physician Assistant 7012091861 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004205WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc. CurrentSince Dec 23, 2025 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Aug 23, 2009 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Aug 23, 2009 Accepting new patients
Longview Surgical Group Past Accepting new patients
Samaritan Pacific Health Services, Inc. PastSince Feb 21, 2021 Accepting new patients
Peacehealth Past Accepting new patients
Yachats Community Health Clinic Past Accepting new patients
Icco, LLC Past Accepting new patients

Locations

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

930 SW Abbey St
Ste F
Newport, OR 97365
Phone (541) 574-4860

920 SW Range Dr
Waldport, OR 97394
Phone (541) 563-3197

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10004205 WA
Medical Physician Assistant 363AM0700X PA01115 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

920 SW Range Dr
Waldport, OR 97394-9634

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Other practice location 1

930 SW Abbey St
Suite F
Newport, OR 97365-4820
Phone (541) 574-4860

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address etaylor4779@samhealth.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2021.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1699790022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW RANGE DR",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973949634",
            "telephone_number": "541-563-3197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-574-4860",
            "fax_number": "541-574-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EDWARD",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004205",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etaylor4779@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "920 SW Range Dr",
            "city": "Waldport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973949634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldport, OR

Sources for this page

Verify at the official NPI Registry.