NPIMap

Individual provider Active NPI

Richard L. Taylor, MD

  • Family Medicine Physician
  • Berryville, AR
National Provider Identifier
1821135690
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6251 Issued in AR
Practice address
214 Carter St
Berryville, AR 72616-4303
Phone
(870) 423-3355
Fax
(870) 423-5268
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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 C6251 AR Primary
Family Medicine Physician 207Q00000X R2G30 MO

Addresses

Primary practice location

214 Carter St
Berryville, AR 72616-4303

Mailing address

214 Carter St
Berryville, AR 72616-4303
Phone (870) 423-3355

Other identifiers 5

IdentifierTypeStateIssuer
55233OtherMOAR BLUE SHIELD #
149386OtherMOHEALTHLINK PROV. #
202405205MedicaidMO
110881001MedicaidAR
55233OtherARAR BLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100702000045 MO Practitioner - Family Practice 3476572801 Reassigns benefits to 1 organization
I20110309000522 AR Practitioner - Family PracticePractitioner - Emergency Medicine 3476572801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians
Ozark Physical Therapy Inc.Group PAC ID 1052400850, 44 clinicians

Practice addresses (Care Compare)

207 Carter St
Berryville, AR 72616-4303
Phone (870) 423-6661

210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rogers, AR, CCN 047149
  • Lifetouch Health Hospice Care Hospice, Russellville, AR, CCN 041518
  • Mercy Hospital Berryville Hospital, Berryville, AR, CCN 041329
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6251ARMDFamily Medicine Physician
R2G30MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Berryville CurrentSince May 1, 1989 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 1, 2000 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 15, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 1, 2000 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince May 15, 2023 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

207 Carter St
Berryville, AR 72616
Phone (870) 423-6661

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Hospital BerryvilleBerryville, AR, CCN 041329 Hospital Corporate Director Jul 1, 2017
Mercy Hospital BerryvilleBerryville, AR, CCN 04Z329 Hospital Corporate Director Jul 1, 2017
The Blossoms at Eureka Springs Rehab and Nursing CenterEureka Springs, AR, CCN 045242 Skilled nursing facility Corporate Director (100%) Apr 1, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 4

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1821135690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-3355",
            "fax_number": "870-423-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CARTER ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164303",
            "telephone_number": "870-423-3355",
            "fax_number": "870-423-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6251",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2G30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD #",
            "identifier": "55233",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROV. #",
            "identifier": "149386",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202405205",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110881001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD #",
            "identifier": "55233",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

Verify at the official NPI Registry.