LARRY E TAYLOR (NPI# 1154742880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154742880 |
| Entity Type | Individual |
| Full Name | LARRY E TAYLOR |
| Practice Address |
10532 N Port Washington Rd Mequon WI 53092-5563 |
| Mailing Address |
Po Box 241141 Milwaukee WI 53224-9027 |
| Practice Telephone | 2622423810 |
| Practice Fax Number | 2622423816 |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2013-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
16901-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215232228 | Larry Taylor | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-01-21 |
| 1457505802 | Larry Taylor | Counselor | 2795 Ne Cleveland Ave, Gresham, OR 97030 | 2008-11-12 |
| 1457386609 | Larry Edward Taylor | Specialist | 1705 Forest Dr, Corbin, KY 40701-2354 | 2006-07-12 |
| 1528010139 | Larry R. Taylor | Nurse Anesthetist, Certified Registered | 2407 Wimbledon Dr, Arlington, TX 76017 | 2006-05-16 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518968577 | Larry J Taylor | Optometrist | 3031 Flint Hills Dr, Burlington, IA 52601-0696 | 2005-08-02 |
| 1225665946 | Larry Lee Taylor Jr. | Nurse Practitioner | 1805 Tift Ave N Ste D, Tifton, GA 31794-3579 | 2020-03-24 |
| 1255972667 | Larry Lee Taylor | Audiologist | 6535 N Charles St Ste 250, Baltimore, MD 21204-5829 | 2019-10-07 |
| 1497243109 | Larry Taylor | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2018-04-27 |
| 1326434945 | Larry James Taylor II | Occupational Therapist | 273 E Beverly Blvd, Montebello, CA 90640-3775 | 2015-04-09 |
| Street Address |
10532 N PORT WASHINGTON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-5563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598134 | Sally G Hunt | Pediatrics | 10532 N Port Washington Rd, Suite 1a, Mequon, WI 53092-5563 | 2005-09-14 |
| 1144797614 | Ovation Hand Institute, LLC | Family Medicine | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2018-11-01 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| 1679984108 | Victoria Cassandra Jackson | Social Worker | 10532 N Port Washington Rd, Mequon, WI 53092 | 2014-05-19 |
| 1366873598 | Peggy Nowicki | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-13 |
| 1750711321 | Holly Kay Hallada | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-11-19 |
| 1669712691 | Tiffany Ann Stark | Social Worker | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-02-28 |
| 1295012805 | Stefanie Carol Palmer | Counselor | 10532 N Port Washington Rd, Ste 1b, Mequon, WI 53092-5563 | 2011-11-10 |
| 1811272123 | Mary E Barrett | Counselor | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656162 | Dynamic Potential | Psychologist | 316 5th St Ste 2, Racine, WI 53403-4606 | 2019-12-19 |
| 1932312212 | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr | Psychologist | 3601 30th Ave Ste 102, Kenosha, WI 53144-1642 | 2007-05-07 |
| 1790021897 | Brian Michael Flynn | Psychologist | 600 W Virginia St, Suite 203, Milwaukee, WI 53204-1500 | 2012-12-17 |
| 1821358185 | Henry Steinberger Phd LLC | Psychologist | 313 Price Pl, Suite 209, Madison, WI 53705-3262 | 2012-05-21 |
| 1043592173 | Andrew Wesley Kingwell | Psychologist | 500 E Veterans St, Tomah, WI 54660 | 2011-09-14 |
| 1285960518 | Craig D. Childs | Psychologist | 394 Williamstowne, Suite 202, Delafield, WI 53018-2322 | 2009-10-21 |
| 1255408811 | Paul F Strand | Psychologist | 130 E Walnut St, Suite 706, Green Bay, WI 54301-4239 | 2006-11-29 |
| 1114093929 | Fredrick O Beck | Psychologist | 2801 Calumet Dr, Sheboygan, WI 53083-3839 | 2006-11-27 |
| 1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1841242294 | Jo M Weis | Psychologist | 1155 North Mayfair Road, Behavioral Health Clinic @ Tosa, Milwaukee, WI 53226 | 2006-05-16 |
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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.