ANDRE TAYLOR (NPI# 1477089753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477089753 |
Entity Type | Individual |
Full Name | ANDRE TAYLOR |
Credential | ATC |
Practice Address |
601 E 14th St Sedalia MO 65301-5972 |
Mailing Address |
1203 Pebblecreek Dr Apt. B Warrensburg MO 64093-9502 |
Practice Telephone | 6602871225 |
Mailing Telephone | 5734339069 |
Enumeration Date | 2017-05-05 |
Last Update Date | 2017-05-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
2016027857 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598256083 | Andre Joseph Taylor | Chiropractor | 229 W Washington St, Sherman, TX 75090-5833 | 2018-05-21 |
1417445578 | Andre Cardrell Taylor | Counselor | 15 Frederick Ave, Akron, OH 44310-2904 | 2018-04-24 |
1437654514 | Andre Taylor | Case Manager/Care Coordinator | 2587 Back Orrville Rd, Wooster, OH 44691-9523 | 2018-03-29 |
1730558388 | Andre V Taylor | Counselor | 324 Radio Street, Bethel, AK 99559 | 2015-09-24 |
Street Address |
601 E 14TH ST |
City | SEDALIA |
State | MO |
Zip Code | 65301-5972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
1225660228 | Jennifer Gamber | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-02-07 |
1679113153 | Janice Renee Johnson | Registered Nurse | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-01-13 |
1962900944 | Centennial Emergency Physicians LLC | Emergency Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
1730687716 | Missouri Em-i Medical Services PC | Physician Assistant | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
1598280166 | Bart D Kuhns | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-08-04 |
1962856963 | Traci Marie Kristofik | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-04-16 |
1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
1396129722 | Chase Belnap | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2015-07-15 |
1063709640 | Deanna Marchelle Mahoney | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2011-07-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
Find all providers in zip 65301 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255792198 | Ashley Taylor | Preventive Medicine | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2016-03-18 |
1093175846 | Jamie Daun Smith | Preventive Medicine | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2016-03-07 |
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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.