TAYLOR B STARR DO NPI 1689845034

NPI Information

NPI: 1689845034
Provider Name: TAYLOR B STARR, DO
Classification: Internal Medicine - 207RA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-2964
Get Directions

Taylor B Starr, DO is an adolescent medicine internal medicine in Rochester, NY with 19 years of experience. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Taylor B Starr, DO NPI is 1689845034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2005

The provider's business location address is:

601 ELMWOOD AVE
ROCHESTER, NY
ZIP 14642
Phone: (585) 275-2964
Fax: (585) 242-9733

The NPI 1689845034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 7/6/2023.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	250457	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207RA0000X	Internal Medicine	Adolescent Medicine	250457	NEW YORK	Yes
4	208000000X	Pediatrics		250457	NEW YORK	No

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
1	03488671	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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