CHARLES BONNEY TAYLOR (NPI# 1528474616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528474616 |
Entity Type | Individual |
Full Name | CHARLES BONNEY TAYLOR |
Practice Address |
3259 Catlin Ave Quantico VA 22134-5109 |
Practice Telephone | 7037845541 |
Mailing Telephone | 7037845541 |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730786070 | Charles Thaddious Taylor Jr. | Licensed Practical Nurse | 115 Chili Ave, Rochester, NY 14611-2604 | 2020-10-08 |
1831691740 | Charles Taylor | Behavioral Analyst | 196 Broyles Rd, Spring City, TN 37381-5406 | 2018-03-06 |
1265972368 | Charles Taylor | Counselor | 1200 6th Ave S, Jasper, AL 35501-4606 | 2017-03-08 |
1649607094 | Charles Reid Taylor | Speech-Language Pathologist | 109 Atlantic St, Jersey City, NJ 07304-2303 | 2013-10-01 |
1689911737 | Charles W Taylor IIi | Chiropractor | 703 E Market St, Scranton, PA 18509-1257 | 2013-01-09 |
1124376025 | Charles Taylor | Pharmacist | 84 Candlelite Dr, Almo, KY 42020-9526 | 2012-08-27 |
1255637476 | Charles Joel Taylor | Counselor | 8305 Se Monterey Ave Ste 111, Happy Valley, OR 97086-7753 | 2011-02-04 |
1245547595 | Charles D Taylor | Dentist | 24430 Gratiot, Eastpointe, MI 48021 | 2010-09-08 |
1184950610 | Charles David Taylor | Marriage & Family Therapist | 222 E Yanonali St Unit A, Santa Barbara, CA 93101-1855 | 2009-10-17 |
1407037369 | Charles W Taylor | Dentist | 1245 Southern Blvd., Bronx, NY 10459 | 2007-11-20 |
Street Address |
3259 CATLIN AVE |
City | QUANTICO |
State | VA |
Zip Code | 22134-5109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023001831 | Ivan Roman | Dentist | 3259 Catlin Ave, Naval Health Clinic Quantico, Quantico, VA 22134 | 2005-08-26 |
1558987354 | Scott Alan Bauer | Optometrist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2020-06-18 |
1689219214 | Caitlin Rose Morgan | Nurse Practitioner | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-07 |
1790329761 | Lindsay Elizabeth Jensen | Physician Assistant | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2019-11-03 |
1679008312 | Lien Vinh Bao Lee | Pharmacist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2017-05-01 |
1447703376 | Anne Sidwell | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2016-07-27 |
1174997324 | Keith Lee Sr. | Physical Therapist | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-11-25 |
1962880344 | Lesley Michelle Washington | Registered Nurse | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-05-18 |
1215314042 | Jorge Gonzalo Jara | Physician Assistant | 3259 Catlin Ave, Naval Health Clinic, Quantico, VA 22134-6050 | 2015-04-30 |
1144616467 | Jenna Golding | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407413065 | Elyssa Marie Salcido | Physician Assistant | Naval Heatlh Clinic Quantico, 3259 Catlin Avenue, Quantico, VA 22134 | 2019-05-20 |
1396277885 | Krista Lynn Greene | Optometrist | 3259 Catilin Avenue, Naval Health Clinic, Quantico, Quantico, VA 22134 | 2017-04-03 |
1639526593 | Kathy Olson | Social Worker | 2134 Barnett Avenue, Little Hall Lower Level, Quantico, VA 22134 | 2016-05-20 |
1215285788 | Laura K Goodman | Specialist/Technologist | 12081 Mason Dr, Quantico, VA 22134 | 2012-08-15 |
1437441706 | Danielle Michelle Lagoski | Family Medicine | 1998 Hill Ave, Quantico, VA 22134 | 2011-05-05 |
1639493695 | Alicia Elizabeth Heili | Specialist/Technologist | 24164 Belleau, Quantico, VA 22134 | 2010-03-19 |
1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
1194824227 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Nmc 2200 Lester Avenue, Quantico, VA 22134 | 2006-09-22 |
1780783811 | Naval Health Clinic Quantico | Military/U.S. Coast Guard Pharmacy | Quantico Nmc Attn: Third Party Billing, 3259 Catlin Ave, Quantico, VA 22134 | 2006-09-22 |
1548219249 | Andrew Alexander Mcbain | Chiropractor | The Basic School Ray Health Clinic, Mcb2 24008, Quantico, VA 22134 | 2006-05-09 |
Find all providers in zip 22134 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275785818 | Christy Ann Hood | Military Health Care Provider | 2359 Catlin Avenue, Quantico, VA 22134-6050 | 2008-10-15 |
1154790228 | Alexander John Mills | Military Health Care Provider | 2189 Elrod Ave, Quantico, VA 22134-5113 | 2015-09-18 |
1144616467 | Jenna Golding | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2015-04-14 |
1225369606 | Michael Pirone | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2010-01-25 |
1780849471 | Michael Aaron Cotton | Military Health Care Provider | 3259 Catlin Avenue, Naval Health Clinic, Quantico, VI 22134-6050 | 2008-07-23 |
1659546554 | Michael Angel Santana | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2008-04-23 |
1114191343 | Alan P Kropf | Military Health Care Provider | 2189 Elrod Ave, Quantico, VA 22134-5113 | 2008-04-18 |
1851587166 | Jeffrey Robert Geiser | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2007-09-20 |
1255526547 | Kevin Dale Joyner | Military Health Care Provider | 3259 Catlin Ave, Naval Health Clinic Quantico, Quantico, VA 22134-5109 | 2007-09-10 |
1942278460 | Adrian L Dunkerley | Military Health Care Provider | 3259 Catlin Ave, Quantico, VA 22134-5109 | 2006-03-10 |
Find all providers in QUANTICO |
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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.