Organization Active NPI

W.W. Taylor, Jr, M.D., P.C.

  • Allergy Physician
  • Memphis, TN
National Provider Identifier
1942245121
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
6297 Issued in TN
Legal business name
W.W. TAYLOR, JR, M.D., P.C.
Practice address
1755 Kirby Pkwy
Suite 100
Memphis, TN 38120-8300
Phone
(901) 758-0112
Fax
(901) 758-2276
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
William W Taylor Jr., M.D.
Title
Owner
Phone
(901) 758-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 6297 TN Primary

Addresses

Primary practice location

1755 Kirby Pkwy
Suite 100
Memphis, TN 38120-8300

Mailing address

1755 Kirby Pkwy
Suite 100
Memphis, TN 38120-8300
Phone (901) 758-0112

Other identifiers 1

IdentifierTypeStateIssuer
3154957MedicaidTN

National Provider Directory

National Provider Directory

Locations

1755 Kirby Pkwy
Ste 100
Memphis, TN 38120
Phone (901) 758-0112

3030 Covington Pike
Ste 160
Memphis, TN 38128
Phone (901) 388-5123

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1942245121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381208300",
            "telephone_number": "901-758-0112",
            "fax_number": "901-758-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 KIRBY PKWY",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381208300",
            "telephone_number": "901-758-0112",
            "fax_number": "901-758-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.W. TAYLOR, JR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-758-0112",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TN",
            "license": "6297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154957",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.