MR. ROBERT ELLIS TAYLOR III


Address: 1248 Marvin Ave, Charleston, SC 29407-5337
Phone: 5408092475

MR. ROBERT ELLIS TAYLOR III (NPI# 1871148478) 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) 1871148478
Entity Type Individual
Full Name MR. ROBERT ELLIS TAYLOR III
Practice Address 1248 Marvin Ave
Charleston
SC 29407-5337
Practice Telephone 5408092475
Enumeration Date 2019-08-09
Last Update Date 2019-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

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1144572686 Robert E Taylor Jr. Custodial Care Facility 8905 Harvey Ln, Port Richey, FL 34668-5212 2012-10-08
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Office Location

Street Address 1248 MARVIN AVE
City CHARLESTON
State SC
Zip Code 29407-5337

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1780225128 New Endeavors Counseling Social Worker 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 2019-10-07
1770063158 Katelyn Campbell Psychologist 1 Carriage Ln Ste 102, Charleston, SC 29407 2018-08-15
1164929956 Anisha Gulati Md LLC Psychiatry & Neurology 925 Wappoo Rd., Suite F, Charleston, SC 29407 2018-04-09
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1457874174 Meca Mentality LLC Chiropractor 1106 St Andrews Blvd Suite A, Charleston, SC 29407 2017-07-25
1639609373 Carolina Behavioral Specialists, LLC Behavioral Analyst 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 2017-06-15
1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
1376991257 Virginia Leigh Thomason Counselor 29 Leinbach Dr, Suite D2, Charleston, SC 29407 2016-06-01
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475326 Rebecca Whealen Physician Assistant 2026 Huber Rd, Charleston, WV 25314-2236 2020-10-23
1275131054 Ethan Brody Clontz Physician Assistant 1953 Pinehurst Ave, Charleston, SC 29414-6483 2020-10-13
1386251635 Caitlin Estep Physician Assistant 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 2020-09-29
1487261509 Reilly Kilpatrick Physician Assistant 1518 Blaze Ln, Charleston, SC 29412-8652 2020-09-24
1083228514 Andrea Denise Boan Physician Assistant 12 Commercial Row Apt A, Charleston, SC 29412-3641 2020-09-02
1194343673 Andrew N Brewer Physician Assistant 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 2020-07-10
1396361309 Jacquelyn Joseph Physician Assistant 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 2020-06-25
1639719990 Jessy Marie Hamrick Physician Assistant 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 2020-01-14
1093355521 Virginia Noemi Escobar-cheng Physician Assistant 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 2020-01-13
1598300279 Breanne Marie Wiekamp Physician Assistant 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 2019-11-17
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Competitor

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City CHARLESTON
Zip Code 29407

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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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