Individual provider Active NPI

Susan Johnson Taylor, M.D.

  • Obstetrics & Gynecology Physician
  • Grand Haven, MI
National Provider Identifier
1821093816
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301048050 Issued in MI
Practice address
Horizon Medical, PC
1445 Sheldon, Suite 301
Grand Haven, MI 49417
Phone
(616) 847-2500
Fax
(616) 847-6719
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301048050 MI Primary

Addresses

Primary practice location

Horizon Medical, PC
1445 Sheldon, Suite 301
Grand Haven, MI 49417

Mailing address

Horizon Medical, PC
1445 Sheldon, Suite 301
Grand Haven, MI 49417
Phone (616) 847-2500

Other identifiers 1

IdentifierTypeStateIssuer
4685205MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000481 OR Practitioner - Obstetrics/Gynecology 2466420211 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital Current Accepting new patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Santiam Memorial Hospital CurrentSince Apr 8, 2020 Accepting new patients
Noch Physician Billing Company LLC Obstetrics & Gynecology PastSince Oct 5, 2013 Accepting new patients

Locations

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

1373 N 10th Ave
Stayton, OR 97383
Phone (503) 769-9522

Interoperability endpoints

  • Direct secure messaging: staylor93679@secure.stcharleshealthcare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821093816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HORIZON MEDICAL, PC",
            "address_2": "1445 SHELDON, SUITE 301",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-847-2500",
            "fax_number": "616-847-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HORIZON MEDICAL, PC",
            "address_2": "1445 SHELDON, SUITE 301",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-847-2500",
            "fax_number": "616-847-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUSAN",
        "middle_name": "JOHNSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301048050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4685205",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.