Individual provider Active NPI

Donald Ray Taylor II, D.O.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1871911628
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
79761 Issued in GA
Practice address
1402 S Grand Blvd # M260
Saint Louis, MO 63104
Phone
(770) 833-5559
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 79761 GA Primary

Addresses

Primary practice location

1402 S Grand Blvd # M260
Saint Louis, MO 63104

Mailing address

8550 Webshire LN
Apt C
Saint Louis, MO 63123-3340
Phone (770) 833-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20190122000019 GA Practitioner - Anesthesiology 6800198284 Reassigns benefits to 2 organizations
I20190411001021 AL Practitioner - Anesthesiology 6800198284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Anesthesia Services PCGroup PAC ID 8123081429, 43 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79761GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physynergy, LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Physynergy, LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Amsol Anesthetists of Georgia, LLC Anesthesiology CurrentSince Feb 26, 2019 Accepting new patients
Sentry Anesthesia Management, LLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center CurrentSince Jun 18, 2018 Accepting new patients
Comprehensive Anesthesia Services PC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496

Organizations & group practices 7

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 1

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1871911628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 WEBSHIRE LN",
            "address_2": "APT C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233340",
            "telephone_number": "770-833-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD # M260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "770-833-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "79761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.