Active NPI
Timothy N Taylor, DO
- Pulmonary Disease Physician
- Cleveland, OH
National Provider Identifier
1851368914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 34003215T
- Practice address
- 18660 Bagley Rd Ste 405
Cleveland, OH 44130-3483 - Phone
- (440) 826-3030
- Fax
- (440) 826-1235
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 34003215T | OH | Primary |
Addresses
Primary practice location
18660 Bagley Rd Ste 405
Cleveland, OH 44130-3483
Mailing address
PO Box 932085
Cleveland, OH 44193-0007
Phone (216) 267-5139
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780634279 | Other | GROUP NPI | |
| CA4511 | Other | RR MEDICARE GROUP | |
| 290015145 | Other | RR MEDICARE INDIVIDUAL | |
| 112730 | Other | KAISER | |
| 0514894 | Medicaid | OH | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| D368301 | Other | GROUP IND DIAGNOSTICS | |
| 2001738 | Other | OH | GROUP MEDICAID |
| 9273172 | Other | GROUP MEDICARE | |
| 10800279 | Other | CAQH | |
| 9287148 | Other | OH | GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003215T | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Premier Physicians Centers Inc | Past | Accepting new patients | |
| Premier Physicians Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ttaylor92917@direct.ccf.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Durable Medical Equipment & Medical Supplies
- Westlake, OH
- NPI 1679201479
-
- Internal Medicine Physician
- Westlake, OH
- NPI 1780634279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1851368914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932085",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930007",
"telephone_number": "216-267-5139",
"fax_number": "216-267-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18660 BAGLEY RD STE 405",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441303483",
"telephone_number": "440-826-3030",
"fax_number": "440-826-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "TIMOTHY",
"middle_name": "N",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "34003215T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1780634279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CA4511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "290015145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "112730",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0514894",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ASC MEDICARE",
"identifier": "3610861",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP IND DIAGNOSTICS",
"identifier": "D368301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "2001738",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "9273172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10800279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "9287148",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.