MR. MARK ALLEN TAYLOR


Address: 5905 34th Ave S, Minneapolis, MN 55450-2900
Phone: 6127134849

MR. MARK ALLEN TAYLOR (NPI# 1174738793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174738793
Entity Type Individual
Full Name MR. MARK ALLEN TAYLOR
Credential IDC
Practice Address 5905 34th Ave S
Minneapolis
MN 55450-2900
Practice Telephone 6127134849
Practice Fax Number 6127134644
Mailing Telephone 6127134849
Mailing Fax Number 6127134644
Enumeration Date 2007-05-14
Last Update Date 2008-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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Office Location

Street Address 5905 34TH AVE S
City MINNEAPOLIS
State MN
Zip Code 55450-2900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225400104 Elias Cedillo Iv Military Health Care Provider 5905 34th Ave S, Minneapolis, MN 55450-2900 2015-10-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922589373 American Current Care of Minnesota PC Clinic/Center 7550 34th Ave S, Minneapolis, MN 55450 2018-08-23
1770567810 William R Isaksen Preventive Medicine 7550 34th Ave S, Minneapolis, MN 55450-1124 2005-12-02
1063995629 David Benjamin Clark Registered Nurse 7550 34th Ave S, Minneapolis, MN 55450-1124 2018-09-10
1427539881 Occupational Health Centers of Minnesota PC Clinic/Center 7550 34th Ave S, Minneapolis, MN 55450-1124 2018-08-23
1225588833 U.S. Healthworks Medical Group of Minnesota, PC Clinic/Center 7550 34th Ave S, Minneapolis, MN 55450-1124 2016-10-06
1619347119 Jennifer Gaynor Physical Therapist 7550 34th Ave S, Minneapolis, MN 55450-1124 2015-09-28
1902035603 Health Activation Services, Pllc Clinic/Center 7550 34th Ave S, Minneapolis, MN 55450-1124 2009-07-02
1275671224 Linda Joy Miller Emergency Medicine 7550 34th Ave S, Minneapolis, MN 55450-1124 2007-02-02
1073683124 Erica A Eichhof Physical Therapist 7550 34th Ave S, Minneapolis, MN 55450-1124 2006-11-08
1376521203 David Zanick Preventive Medicine 7550 34th Ave S, Minneapolis, MN 55450-1124 2005-12-30
Find all providers in zip 55450

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225400104 Elias Cedillo Iv Military Health Care Provider 5905 34th Ave S, Minneapolis, MN 55450-2900 2015-10-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043571904 Evan Roubal Military Health Care Provider 12054 Mississippi Dr N, Champlin, MN 55316-2110 2012-06-06

Competitor

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City MINNEAPOLIS
Zip Code 55450

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Dataset Information

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.

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