NPIMap

Individual provider Active NPI

Mark Taylor, M.D.

  • Cardiovascular Disease Physician
  • Las Vegas, NV
National Provider Identifier
1821088857
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10081 Issued in NV
Practice address
700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158
Phone
(702) 384-0022
Fax
(702) 384-0529
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10081 NV Primary

Addresses

Primary practice location

700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158

Mailing address

700 Shadow LN.
Suite 240
Las Vegas, NV 89106-4158
Phone (702) 384-0022

Other identifiers 2

IdentifierTypeStateIssuer
2018647MedicaidNV
20-18647MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20110428000235 NV Practitioner - Cardiovascular Disease (Cardiology) 0446435804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Warren Alpert Medical School of Brown University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center of NevadaGroup PAC ID 0042111825, 17 clinicians

Practice addresses (Care Compare)

700 Shadow LN
Suite 240
Las Vegas, NV 89106-4158
Phone (702) 384-0022

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10081NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of Nevada Cardiovascular Disease CurrentSince Feb 18, 2002 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

10001 S Eastern Ave
Ste 403
Henderson, NV 89052
Phone (702) 260-0022

5380 S Rainbow Blvd
Ste 226
Las Vegas, NV 89118
Phone (702) 260-0022

6850 N Durango Dr
Ste 312
Las Vegas, NV 89149
Phone (702) 433-0022

5380 S Rainbow Blvd
Ste 100
Las Vegas, NV 89118
Phone (702) 260-0022

6850 N Durango Dr
Ste 205
Las Vegas, NV 89149
Phone (702) 433-0022

653 N Town Center Dr
Ste 410
Las Vegas, NV 89144
Phone (702) 456-3120

3196 S Maryland Pkwy
Ste 207
Las Vegas, NV 89109
Phone (702) 369-3400

700 Shadow Ln
Ste 240
Las Vegas, NV 89106
Phone (702) 384-0022

1815 E Lake Mead Blvd
Ste 110
North Las Vegas, NV 89030
Phone (702) 341-8827

Interoperability endpoints

  • Direct secure messaging: mark.taylor@heartcenterofnv.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72343

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1821088857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN.",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-384-0022",
            "fax_number": "702-384-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN.",
            "address_2": "SUITE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064158",
            "telephone_number": "702-384-0022",
            "fax_number": "702-384-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "10081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018647",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-18647",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.