Jonathan P. Taylor ,MD Apmc

Primary specialty

SpecialistTaxonomy code 174400000X

License

14334R Issued in LA

Legal business name

JONATHAN P. TAYLOR ,MD APMC

Practice address

6180 Main St
Ste a
Zachary, LA 70791-4069

Phone

(225) 658-9890

Fax

(225) 658-9019

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Gwen K Noce

Title

Manager

Phone

(225) 658-9890

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770623944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 MAIN ST",
            "address_2": "STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-9890",
            "fax_number": "225-658-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 MAIN ST",
            "address_2": "STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-9890",
            "fax_number": "225-658-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN P. TAYLOR ,MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOCE",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-658-9890"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "14334R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105929",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427070432",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Zachary, LA
• Providers in Zachary, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.