Active NPI
Michelle Dione Taylor, MD
- Surgery Physician
- Vancouver, WA
National Provider Identifier
1760405310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00046752
- Practice address
- 2101 NE 139TH Street
Mob B Suite 260
Vancouver, WA 98686-2742 - Phone
- (360) 487-2810
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00046752 | WA | Primary |
Addresses
Primary practice location
2101 NE 139TH Street
Mob B Suite 260
Vancouver, WA 98686-2742
Mailing address
2101 NE 139TH St
#260
Vancouver, WA 98686-2309
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 |
|---|---|---|---|
| MD00046752 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1760405310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 NE 139TH ST",
"address_2": "#260",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NE 139TH STREET",
"address_2": "MOB B SUITE 260",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862742",
"telephone_number": "360-487-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MICHELLE",
"middle_name": "DIONE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00046752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.