Individual provider Active NPI

Garrett R Taylor, MD

  • Emergency Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1861409252
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5195 Issued in SD
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-2000
Fax
(605) 322-2036
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5195 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

PO Box 5045
Attn: Prov Enrollment, P.F.S.
Sioux Falls, SD 57117-5045
Phone (605) 322-2000

Other identifiers 9

IdentifierTypeStateIssuer
106K1TAOtherMNMN BC PROVIDER #
6004660MedicaidSD
1550228MedicaidIA
607620300MedicaidMN
P00920439OtherSDRAILROAD MEDICARE
9216564OtherSCDAKOTACARE PROVIDER #
0041368OtherSDSDBC P ROVIDER #
46022474331MedicaidNE
P00046387OtherSDRR MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110112000905 SD Practitioner - Emergency Medicine 5698964252 Reassigns benefits to 1 organization
I20170518001788 TX Practitioner - Emergency Medicine 5698964252 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5195SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 1, 2014 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Apr 8, 2017 Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 8, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 8, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Avera McKennan Current Accepting new patients
Rosebud Indian Health Service CurrentSince Apr 8, 2017 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Apr 8, 2017 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 8, 2017 Accepting new patients
Avera McKennan CurrentSince Jul 1, 2014 Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

4500 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-2980

Organizations & group practices 11

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1861409252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "address_2": "ATTN: PROV ENROLLMENT, P.F.S.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-2000",
            "fax_number": "605-322-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-2000",
            "fax_number": "605-322-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GARRETT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "5195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BC PROVIDER #",
            "identifier": "106K1TA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004660",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550228",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607620300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00920439",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE PROVIDER #",
            "identifier": "9216564",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SDBC P ROVIDER #",
            "identifier": "0041368",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46022474331",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER #",
            "identifier": "P00046387",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.