Individual provider Active NPI

Robert W Taylor Jr., MD

  • Pulmonary Disease Physician
  • Shreveport, LA
National Provider Identifier
1821198052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
013333 Issued in LA
Practice address
2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905
Phone
(318) 635-0834
Fax
(318) 636-2331
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 013333 LA Primary

Addresses

Primary practice location

2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905

Mailing address

2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905
Phone (318) 635-0834

Other identifiers 1

IdentifierTypeStateIssuer
1341231MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070122000127 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7810998770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in Shreveport, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK North Pulmonary and Critical CareGroup PAC ID 1759382856, 22 clinicians

Practice addresses (Care Compare)

1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 635-0834

2600 Greenwood Rd
Shreveport, LA 71103-3908

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13333LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bryn-Fincher Pulmonary & Critical Care Pulmonary Disease CurrentSince Dec 15, 1999 Accepting new patients
WK North Pulmonary & Critical Care Pulmonary Disease CurrentSince Oct 1, 2006 Accepting new patients

Locations

2551 Greenwood Rd
Ste 210
Shreveport, LA 71103
Phone (318) 212-8159

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

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 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821198052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD ROAD",
            "address_2": "STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033905",
            "telephone_number": "318-635-0834",
            "fax_number": "318-636-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD ROAD",
            "address_2": "STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033905",
            "telephone_number": "318-635-0834",
            "fax_number": "318-636-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "013333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341231",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.