ALIXANDRIA TAYLOR (NPI# 1639660624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639660624 |
| Entity Type | Individual |
| Full Name | ALIXANDRIA TAYLOR |
| Credential | PA |
| Practice Address |
4110 Mystic Valley Pkwy Medford MA 02155-6931 |
| Practice Telephone | 7818749399 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA6960 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4110 MYSTIC VALLEY PKWY |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871680298 | Rose Mary Redmond | Optometrist | 4110 Mystic Valley Pkwy, Wellington Circle Plaza, Medford, MA 02155-6931 | 2006-10-06 |
| 1992209373 | Brandon Chuang | Optometrist | 4110 Mystic Valley Pkwy, Medford, MA 02155 | 2018-03-21 |
| 1053855247 | Urgent Care of Medford, LLC | Clinic/Center | 4110 Mystic Valley Pkwy, Suite 2, Medford, MA 02155-6931 | 2016-12-07 |
| 1588724520 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932346095 | Elena Tovkan Forster | Physician Assistant | 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 | 2009-01-12 |
| 1245416544 | Alanna R Dixon | Physician Assistant | 1698 E. Mcandrews Rd, Suite 400, Medford, OR 97504-5590 | 2008-01-16 |
| 1134784580 | Amanda Nicole Taylor | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-01 |
| 1295398766 | Lindsey R Robinson | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2019-04-19 |
| 1396226247 | Mason Scott Hoying | Physician Assistant | 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 | 2018-08-28 |
| 1720598287 | Ryan Mcdaniel | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-10-10 |
| 1861946931 | Erica Florence Smith | Physician Assistant | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2016-08-06 |
| 1578933123 | Fred Garnica | Physician Assistant | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2015-09-25 |
| 1003297581 | Gregory Lee Werner | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2015-06-10 |
| 1780087502 | Dillon Smith | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2014-10-07 |
| Find all providers in MEDFORD | ||||
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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.