DR. MICHAEL L TAYLOR (NPI# 1134340623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134340623 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L TAYLOR |
| Credential | MD |
| Practice Address |
100 Ne Adams St Peoria IL 61629-0340 |
| Mailing Address |
120 Maple Ridge Dr Morton IL 61550-1122 |
| Practice Telephone | 3096754048 |
| Practice Fax Number | 3096362736 |
| Mailing Telephone | 3096754048 |
| Mailing Fax Number | 3096362736 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
36-063445 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807146 | Michael Lee Taylor | Occupational Therapist | 100 W Gore St Ste 104, Orlando, FL 32806-1041 | 2020-09-30 |
| 1619587599 | Michael Damonta Taylor | Non-emergency Medical Transport (VAN) | 154 Pine Hill Ct, Brodnax, VA 23920-3331 | 2020-08-05 |
| 1154946804 | Michael Lee Taylor | Student in an Organized Health Care Education/Training Program | 1411 Ridgewood Dr, Martinez, CA 94553-4221 | 2020-06-09 |
| 1184129223 | Michael Taylor | Student in an Organized Health Care Education/Training Program | 122 67th St Apt 1, Brooklyn, NY 11220-4822 | 2018-03-29 |
| 1598213431 | Michael Ray Taylor Jr. | Specialist/Technologist | 20 Lost Mountain Rd, Center Ridge, AR 72027-8317 | 2016-09-21 |
| 1891159638 | Michael Taylor | Non-emergency Medical Transport (VAN) | 4602 Jefferson Dr, Richton Park, IL 60471-1850 | 2016-04-07 |
| 1629465752 | Michael Taylor | Surgery | 72 E Concord St Bldg C515, Boston, MA 02118-2642 | 2015-04-15 |
| 1356749253 | Michael Craig Taylor | Physician Assistant | 715 North Brown Street, Alma, NE 68920-0665 | 2014-12-09 |
| 1861760308 | Michael Andrew Taylor | Speech-Language Pathologist | 836 Verde Dr, Riverdale, GA 30274-1646 | 2011-12-13 |
| 1720383896 | Michael Allen Taylor | Pharmacist | 4915 S Regal St, Spokane, WA 99223-7633 | 2011-01-20 |
| Street Address |
100 NE ADAMS ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61629-0340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376673673 | John C Ruthman | Preventive Medicine | 100 Ne Adams St, Peoria, IL 61637-0001 | 2007-03-06 |
| 1316165632 | Rick C Luetkemeyer | Internal Medicine | 100 Ne Adams St, Peoria, IL 61629-1410 | 2007-04-23 |
| 1568680643 | Stephen Lewis Goldman | Preventive Medicine | 100 Ne Adams St, Peoria, IL 61629-1410 | 2007-04-23 |
| 1558585000 | Paul Hodgins | Preventive Medicine | 100 Ne Adams St, Peoria, IL 61629-1410 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518294925 | Joy Christine Schramm | Nurse Practitioner | 1oo Ne Adams St, Peoria, IL 61629-1410 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1538760525 | Ayomikun Ajulo | Technician | 7426 W Cheryl Dr, Peoria, AZ 85345-6723 | 2020-11-05 |
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1942801071 | Kathrine Sunstedt | Nurse Practitioner | 420 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-3112 | 2020-11-04 |
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1366042988 | Nicole Elizabeth Steen | Registered Nurse | 21751 N 86th Ln, Peoria, AZ 85382-2497 | 2020-11-01 |
| 1699375683 | Christopher Wayne Sharp | Pharmacist | 8062 W Eva St, Peoria, AZ 85345-7197 | 2020-10-28 |
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| Find all providers in PEORIA | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164761268 | David Kindred Integrated Medicine PC | Preventive Medicine | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275022188 | Vip Health and Fitness Clinic | Preventive Medicine | 100 N Fairway Dr Ste 100-102, Vernon Hills, IL 60061-1859 | 2018-05-07 |
| 1457776361 | Caroline Marie Jung | Preventive Medicine | 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 | 2014-02-28 |
| 1083052609 | Chicago Age Management Institute | Preventive Medicine | 60 Revere Dr Ste 820, Northbrook, IL 60062-1580 | 2013-06-05 |
| 1568690899 | Sargon Audisho | Preventive Medicine | 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 | 2009-06-25 |
| 1194910125 | Chicago Dept of Public Health | Preventive Medicine | 2849 N Clark St, Lakeview N H C, Chicago, IL 60657 | 2007-09-12 |
| 1508071010 | Violeta P Dulanas | Preventive Medicine | 4958 W Madison St, Chicago, IL 60644-3541 | 2007-05-10 |
| 1073727400 | Lourdes Mella Hilao | Preventive Medicine | 4243 W Fullerton Ave, Chicago, IL 60639-2049 | 2007-05-08 |
| 1639395239 | K Michael Lipkin | Preventive Medicine | 370 Aspen Ln, Highland Park, IL 60035-4525 | 2007-04-18 |
| 1457493546 | Esperanza G Salvador | Preventive Medicine | 2100 Ridge Ave, Evanston, IL 60201-2716 | 2007-02-13 |
| 1518021153 | Westside C.d.c | Preventive Medicine | 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 | 2006-12-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.