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TAYLOR REGIONAL MEDICAL GROUP LLC NPI 1073817581


NPI Information

NPI: 1073817581
Provider Name: TAYLOR REGIONAL MEDICAL GROUP LLC

Doing Business As: TAYLOR REGIONAL ENT

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
105 GREENBRIAR DR
SUITE A
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 465-3595
Get Directions

TAYLOR REGIONAL MEDICAL GROUP LLC is an otolaryngology in Campbellsville, KY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. TAYLOR REGIONAL MEDICAL GROUP LLC NPI is 1073817581. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Taylor Regional Ent.

The provider's business location address is:

105 GREENBRIAR DR
SUITE A
CAMPBELLSVILLE, KY
ZIP 42718-617
Phone: (270) 465-3595
Fax: (270) 789-2044

The provider's authorized official is Debra Ann Waldron .
The authorized official title is Coordinator and has the following contact phone number (270) 465-3561.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237600000XAudiologist-Hearing Aid FitterNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100149690MEDICAIDKENTUCKY
27100157910MEDICAIDKENTUCKY
37100311680MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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