Individual provider Active NPI

Charles W Taylor III, MD

  • Colon & Rectal Surgery Physician
  • Columbus, OH
National Provider Identifier
1861492969
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
35056926 Issued in OH
Practice address
5965 E Broad St
#250
Columbus, OH 43213-1562
Phone
(614) 759-5060
Fax
(614) 759-5065
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 35056926 OH Primary

Addresses

Primary practice location

5965 E Broad St
#250
Columbus, OH 43213-1562

Mailing address

5965 E Broad St
#250
Columbus, OH 43213-1562
Phone (614) 759-5060

Other identifiers 1

IdentifierTypeStateIssuer
0719244MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050922000699 OH Practitioner - Colorectal Surgery (Proctology) 1254233984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders Two LLCGroup PAC ID 6608828447, 222 clinicians

Practice addresses (Care Compare)

3000 Meadow Pond CT
Suite 400
Grove City, OH 43123-9827
Phone (614) 627-1560

5300 N Meadows Dr
Grove City, OH 43123-2546

5300 N Meadows Dr Building
1 Suite 280
Grove City, OH 43123-2546
Phone (614) 627-2000

5965 E Broad St
Suite 250
Columbus, OH 43213-1544
Phone (614) 627-1560

6001 E Broad St
Mount Carmel Palliative Care
Columbus, OH 43213-1502
Phone (614) 234-6000

6150 E Broad St
Columbus, OH 43213-1574
Phone (614) 546-4400

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35056926OHMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Two LLC CurrentSince Mar 30, 2020 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Mar 30, 2020 Accepting new patients

Locations

5965 E Broad St
Ste 250
Columbus, OH 43213
Phone (614) 627-1560

5965 E Broad St
Ste 200
Columbus, OH 43213
Phone (614) 234-8844

85 McNaughten Rd
Ste 350
Columbus, OH 43213
Phone (614) 221-5189

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3000 Meadow Pond Ct
Ste 400
Grove City, OH 43123
Phone (614) 627-1560

Interoperability endpoints

  • Direct secure messaging: ctaylor1158236@direct.trinity-health.org
  • Direct secure messaging: c_clinical@crscolumbus.directbygreenway.com

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 3

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861492969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "#250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-759-5060",
            "fax_number": "614-759-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 E BROAD ST",
            "address_2": "#250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131562",
            "telephone_number": "614-759-5060",
            "fax_number": "614-759-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35056926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719244",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.