DR. WALLACE EDMONDSON TAYLOR JR.


Address: 300 Beardsley Ln, Suite D-101, Austin, TX 78746-4945
Phone: 5123389840

DR. WALLACE EDMONDSON TAYLOR JR. (NPI# 1831173707) 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) 1831173707
Entity Type Individual
Full Name DR. WALLACE EDMONDSON TAYLOR JR.
Credential M.D.
Practice Address 300 Beardsley Ln
Suite D-101
Austin
TX 78746-4945
Practice Telephone 5123389840
Practice Fax Number 5123380863
Mailing Telephone 5123389840
Mailing Fax Number 5123380863
Enumeration Date 2005-12-02
Last Update Date 2008-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 28006 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE RAILROAD CARRIER P00209209 01
CO 01280064 05
CO ANTHEM BC/BS TA37805 01

Office Location

Street Address 300 BEARDSLEY LN
SUITE D-101
City AUSTIN
State TX
Zip Code 78746-4945

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659815827 Hall Plastic Surgery Pllc Clinic/Center 300 Beardsley Ln, Building C Suite 101, Austin, TX 78746-4945 2016-12-07
1417490830 Julia Hoy Nurse Practitioner 300 Beardsley Ln, Bldg C, Suite 100, Austin, TX 78746-4945 2016-12-02
1558753467 Rebecca Wright Bell Nurse Practitioner 300 Beardsley Ln, D101, Austin, TX 78746-4945 2015-03-02
1962894154 Amy Ashorn Mcmillan Social Worker 300 Beardsley Ln, Austin, TX 78746-4945 2015-02-24
1700140035 Ben Charlton Chiropractor 300 Beardsley Ln, Bldg E, Austin, TX 78746-4945 2012-07-02
1689954745 Westlake Ivf Obstetrics & Gynecology 300 Beardsley Ln, Bldg B, Ste 200, Austin, TX 78746-4945 2011-08-22
1427353416 Westlake Chiropractic, Pllc Chiropractor 300 Beardsley Ln, Bldg C101, Austin, TX 78746-4945 2011-01-21
1710289491 Katerina Sheffield Dickey Chiropractor 300 Beardsley Ln, Bldg C101, Austin, TX 78746-4945 2010-12-01
1730400078 Eleanor P Womack Internal Medicine 300 Beardsley Ln, Suite D-101, Austin, TX 78746-4945 2010-06-22
1578899100 Izumi Zoe Schutz Acupuncturist 300 Beardsley Ln, Bldg#e, Austin, TX 78746-4945 2009-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366053175 Ethan Zimmerman Student in an Organized Health Care Education/Training Program 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 2020-08-14
1205468782 Fernanda Barcelo Counselor 1004 Mopac Circle, Suite 100, Austin, TX 78746 2020-02-12
1689219842 Explorer Dental, Pllc Clinic/Center 3300 Bee Caves Road Suite 290, Austin, TX 78746 2019-11-12
1992354765 Janna Harris Psychologist 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 2019-09-05
1922652346 Katherine Grace Robertson Registered Nurse 2001 South Mopac Expwy, #824, Austin, TX 78746 2019-07-25
1780248252 Brooklie Benson Gonzales Counselor 5000 Bee Caves Road, Suite 100, Austin, TX 78746 2019-04-30
1447714910 Erik Jensen Lpc Pllc Counselor 3811 Bee Caves Road, Suite 204, Austin, TX 78746 2019-01-29
1588137897 Sarah Akunebu Marriage & Family Therapist 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 2019-01-09
1952886962 Erika Jane Vivyan Psychologist 205 Wild Basin #3 Suite 202, Austin, TX 78746 2018-09-26
1891277190 Thrive Mind Therapy Pllc Counselor 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 2018-09-04
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801162805 Brian D. Schwab Otolaryngology 4315 James Casey St Ste 300, Austin, TX 78745-3364 2012-03-24
1740589696 Neil Elden Miller Otolaryngology 5205 Ridge Oak Dr, Austin, TX 78731-4811 2011-03-17
1174840565 Kevin Taheri Otolaryngology 2765 Bee Caves Rd Ste 205, Austin, TX 78746-5640 2010-04-26
1104055292 Tibor Ruff Otolaryngology 40 N Interstate 35 Apt 9d1, Austin, TX 78701-4368 2009-07-09
1326228511 Laurence Chu, Md, Pa Otolaryngology 1015 E 32nd St Ste 316, Austin, TX 78705-2701 2007-11-06
1871791558 Marcelo B Antunes Otolaryngology 7900 Fm 1826 Ste 206, Austin, TX 78737 2007-07-05
1194823096 Minas Spiros Constantinides Otolaryngology 3800 N Lamar Blvd Ste 155, Austin, TX 78756-0002 2006-09-21
1730195082 Joseph M Leary Otolaryngology 6811 Austin Center Blvd, #300, Austin, TX 78731-3166 2006-07-31
1447223003 Robert Paul Fulmer Otolaryngology 2011 Rue De St Tropez, Austin, TX 78746-1951 2006-02-13
1972500072 Karen Lee Stierman Otolaryngology 2765 Bee Cave Rd, Ste 205, Austin, TX 78746-5640 2005-07-05
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City AUSTIN
Zip Code 78746

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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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