Kevin Ralph Taylor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00021376 Issued in WA

Practice address

5304 Road 68
Pasco, WA 99301-8078

Phone

(509) 543-9300

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
  • NPI 1659861060

  Family Medicine

  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Medical Center

  • Critical Access Hospital
  • Pasco, WA
  • NPI 1831284280
  Medicare reassignment NPD
• Lourdes Hospital LLC

  dba Lourdes Counseling Center

  • Psychiatric Hospital
  • Richland, WA
  • NPI 1548342181
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Riverview Medical Group

  • Family Medicine Physician
  • Pasco, WA
  • NPI 1184708471
  NPD (past)
• Our Lady of Lourdes Health Center

  dba Lourdes Family Health Center

  • Primary Care Clinic/Center
  • Connell, WA
  • NPI 1538213616
  NPD (past)
• Our Lady of Lourdes Hospital at Pasco

  dba Lourdes Urgent Care Radiology

  • Diagnostic Radiology Physician
  • Pasco, WA
  • NPI 1639503774
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1902900103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-547-7704",
            "fax_number": "509-542-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018078",
            "telephone_number": "509-543-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4403 W Court St",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993012879",
            "country_code": "US",
            "telephone_number": "509-545-6220",
            "fax_number": "509-545-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEVIN",
        "middle_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00021376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8616906",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaele Evalyn Tahvili, MA LMHC
• Marie Joy Pineda Tapawan
• Yatzire Tapia Mendoza
• Ana Lucia Tapia, RN
• Kathryn Irene Tate, DPT
• Kristina Teall
• Citlally Tellez-Hernandez
• Edward H Temple, M.D.
• Samantha Stasia Thai, MS, RDN
• Therapeutic Associates Inc (TAI - Pasco Physical Therapy)

• Family Medicine Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.