Individual provider Active NPI

David Richard Taylor, MD

  • Obstetrics & Gynecology Physician
  • Batesville, AR
National Provider Identifier
1982672143
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C5242 Issued in AR
Practice address
1215 Sidney St
Suite 202
Batesville, AR 72501-7203
Phone
(870) 262-2000
Fax
(870) 262-1062
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C5242 AR Primary

Addresses

Primary practice location

1215 Sidney St
Suite 202
Batesville, AR 72501-7203

Mailing address

1215 Sidney St
Suite 202
Batesville, AR 72501-7203
Phone (870) 262-2000

Other identifiers 1

IdentifierTypeStateIssuer
11155701MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5242ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pulaski Womens Clinic CurrentSince May 1, 1992 Accepting new patients

Locations

2402 Wildwood Ave
Ste 402
Sherwood, AR 72120
Phone (501) 992-1910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1982672143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SIDNEY ST",
            "address_2": "SUITE 202",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017203",
            "telephone_number": "870-262-2000",
            "fax_number": "870-262-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SIDNEY ST",
            "address_2": "SUITE 202",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017203",
            "telephone_number": "870-262-2000",
            "fax_number": "870-262-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C5242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11155701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.