NPIMap

Individual provider Active NPI

Jock Neil Taylor, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Broadview Heights, OH
National Provider Identifier
1780064568
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35.133468 Issued in OH
Practice address
5901 E Royalton Rd Ste 1400
Broadview Heights, OH 44147-3532
Phone
(440) 792-9055
Fax
(216) 201-8910
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL38312 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 35.133468 OH Primary

Addresses

Primary practice location

5901 E Royalton Rd Ste 1400
Broadview Heights, OH 44147-3532

Mailing address

1 Infinity Corporate Centre Dr Ste 160
Garfield Heights, OH 44125-5374
Phone (216) 581-5555

Other practice location 1

6789 Ridge Rd Ste 100
Parma, OH 44129-5635
Phone (440) 845-6400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jocktaylor@uhps.allscriptsdirect.net
Direct Messaging Address jocktaylor@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822003755 OH Practitioner - Sports MedicinePractitioner - Family Practice 1658647805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

5901 E Royalton Rd
Broadview Heights, OH 44147-3532

6525 Powers Blvd
Parma, OH 44129-5461
Phone (440) 743-4748

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL38312SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2019 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: jock.taylor@hca5.eclinicaldirectplus.com
  • Direct secure messaging: jtaylor37547@ehrdirect.uhhospitals.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1780064568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INFINITY CORPORATE CENTRE DR STE 160",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441255374",
            "telephone_number": "216-581-5555",
            "fax_number": "216-581-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E ROYALTON RD STE 1400",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473532",
            "telephone_number": "440-792-9055",
            "fax_number": "216-201-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6789 Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295635",
            "country_code": "US",
            "telephone_number": "440-845-6400",
            "fax_number": "440-845-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOCK",
        "middle_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL38312",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.133468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jocktaylor@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 1400",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jocktaylor@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6789 Ridge Rd Ste 100",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.