Active NPI
Stewart F Taylor Jr MD
- Orthopaedic Surgery Physician
- Portage, WI
National Provider Identifier
1982880837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23326
- Legal business name
- STEWART F TAYLOR JR MD
- Practice address
- 2817 New Pinery Rd Ste 202
Portage, WI 53901-9257 - Phone
- (608) 742-4242
- NPI assigned
- Jan 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Walters
- Title
- Manager
- Phone
- (608) 742-4242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23326 | WI | Primary |
Addresses
Primary practice location
2817 New Pinery Rd Ste 202
Portage, WI 53901-9257
Mailing address
2817 New Pinery Rd Ste 202
Portage, WI 53901-9257
Phone (608) 742-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30335100 | Medicaid | WY |
National Provider Directory
National Provider DirectoryLocations
2817 New Pinery Rd
Ste 202
Portage, WI 53901
Phone (608) 742-2293
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Portage, WI
- NPI 1609815216
-
- Orthopaedic Surgery Physician
- Portage, WI
- NPI 1710086434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1982880837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD STE 202",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019257",
"telephone_number": "608-742-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD STE 202",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019257",
"telephone_number": "608-742-4242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART F TAYLOR JR MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "608-742-4242"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "23326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30335100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.