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JERRY A TAYLOR DO PC NPI 1831422419


NPI Information

NPI: 1831422419
Provider Name: JERRY A TAYLOR DO PC
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
20905 GREENFIELD RD
NORTHLAND MEDICAL BUILDING SUITE 602
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-0334
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JERRY A TAYLOR DO PC is a hand surgery orthopaedic surgery in Southfield, MI. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. JERRY A TAYLOR DO PC NPI is 1831422419. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20905 GREENFIELD RD
NORTHLAND MEDICAL BUILDING SUITE 602
SOUTHFIELD, MI
ZIP 48075-360
Phone: (248) 569-0334
Fax: (248) 569-0818

The provider's authorized official is Jerry Alan Taylor .
The authorized official title is President and has the following contact phone number (248) 569-0334.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E26195MEDICARE UPINMICHIGAN
21065476-11MEDICAIDMICHIGAN
35633206MEDICARE PINMICHIGAN

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

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