Organization Active NPI

Taylor Carla Shige Morris

  • Pediatrics Physician
  • Wilmington, DE
National Provider Identifier
1851451611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1999210302 Issued in DE
Legal business name
TAYLOR CARLA SHIGE MORRIS
Practice address
4512 Kirkwood Highway
Wilmington, DE 19808-5123
Phone
(302) 633-6338
Fax
(302) 633-9398
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carla Morris Taylor, M.D.
Title
President
Phone
(302) 633-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 1999210302 DE Primary

Addresses

Primary practice location

4512 Kirkwood Highway
Wilmington, DE 19808-5123

Mailing address

4512 Kirkwood Highway
Wilmington, DE 19808-5123
Phone (302) 633-6338

Other identifiers 1

IdentifierTypeStateIssuer
0000185701MedicaidDE

National Provider Directory

National Provider Directory

Locations

4512 Kirkwood Hwy
Wilmington, DE 19808
Phone (302) 633-6338

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851451611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HIGHWAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-633-6338",
            "fax_number": "302-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 KIRKWOOD HIGHWAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085123",
            "telephone_number": "302-633-6338",
            "fax_number": "302-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR CARLA SHIGE MORRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-633-6338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "1999210302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000185701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.