Individual provider Active NPI

Michael Dean Taylor, MD

  • Anesthesiology Physician
  • American Fork, UT
National Provider Identifier
1952451429
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
168199-1205 Issued in UT
Practice address
170 N 1100 E
American Fork, UT 84003-2096
Phone
(801) 763-3300
Fax
(678) 285-6777
NPI assigned
Jan 10, 2007
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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 168199-1205 UT Primary

Addresses

Primary practice location

170 N 1100 E
American Fork, UT 84003-2096

Mailing address

150 W Civic Center Dr
Suite 200
Sandy, UT 84070-4230
Phone (801) 432-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20070601000302 UT Practitioner - Anesthesiology 2668570474 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Utah School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia AssociatesGroup PAC ID 2668885575, 4 clinicians

Practice addresses (Care Compare)

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168199-1205UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Towne Anesthesia LLC Anesthesiology CurrentSince Dec 12, 2024 Accepting new patients
Riverwoods Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2016 Accepting new patients
Legacy Anesthesia LLC Anesthesiology CurrentSince May 1, 2016 Accepting new patients
Elite Anesthesia Associates CurrentSince Apr 16, 2022 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology PastSince Jan 1, 1998 Accepting new patients

Locations

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

96 E Kimballs Ln
Draper, UT 84020
Phone (801) 233-9300

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

320 River Park Dr
Ste 195
Provo, UT 84604
Phone (801) 375-8064

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1952451429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W CIVIC CENTER DR",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704230",
            "telephone_number": "801-432-2600",
            "fax_number": "678-285-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032096",
            "telephone_number": "801-763-3300",
            "fax_number": "678-285-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "168199-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.