MATTHEW TAYLOR (NPI# 1902434368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902434368 |
| Entity Type | Individual |
| Full Name | MATTHEW TAYLOR |
| Credential | MD |
| Practice Address |
1525 Oak Park Blvd Lake Charles LA 70601-8849 |
| Mailing Address |
173 Marie St Crowley LA 70526-8306 |
| Practice Telephone | 3374942023 |
| Practice Fax Number | 3374306966 |
| Mailing Telephone | 3375816358 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2524861 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1407381015 | Matthew Taylor | Social Worker | 1124 Evergreen Way, Stockbridge, GA 30281-6237 | 2017-04-21 |
| 1942733316 | Matthew Taylor | Nurse Practitioner | 1600 Coit Rd Ste 109, Plano, TX 75075-6171 | 2017-04-04 |
| 1225499320 | Matthew Daniel Taylor | Counselor | 25 East Ellendale Street, Bel Air, MD 21014-2610 | 2016-03-16 |
| 1487969002 | Matthew Taylor | Optometrist | 928 Valley View Dr, Ste 17, Council Bluffs, IA 51503-5288 | 2010-08-09 |
| 1336207695 | Matthew J Taylor | Physical Therapist | 10213 N 92nd Street, Suite 102, Scottsdale, AZ 85258 | 2006-12-05 |
| 1164407904 | Matthew T Taylor | Anesthesiology | 3115 Bridle Bluff Ct, Katy, TX 77494-4060 | 2005-12-14 |
| 1063010627 | Matthew Taylor | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-10-15 |
| 1831722271 | Matthew T Taylor | Nurse Practitioner | 409 N University Ave, Little Rock, AR 72205-3108 | 2020-02-13 |
| 1417591686 | Matthew Taylor | Physical Therapist | 4216 Maccorkle Ave Se Ste 4, Charleston, WV 25304-2539 | 2019-10-31 |
| Street Address |
1525 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514493 | Lsuhsc Family Practice Center @ Lcmh | Family Medicine | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2005-08-09 |
| 1356967434 | Manpreet Mand | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601 | 2020-06-24 |
| 1376162990 | Daniel Mark Seeser | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-04-14 |
| 1053940593 | Ifeoma Anagboso | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-04-06 |
| 1093343469 | Tucker Madden | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-03-31 |
| 1588292049 | Vincent Cody Godinich | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-03-31 |
| 1720616022 | Adrian Vinas | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-03-31 |
| 1134772882 | Camilla Kristin Tegnander | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2019-07-22 |
| 1346701422 | Jacob Damien Leger | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2019-03-29 |
| 1689135048 | Daniel Rachal | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1386104115 | Jessica Marie Miglicco Cole | Student in an Organized Health Care Education/Training Program | 714 Chay Dr, Lake Charles, LA 70611-4957 | 2019-03-19 |
| 1699156901 | Joel Romance | Student in an Organized Health Care Education/Training Program | 5659 Chuck Dr, Lake Charles, LA 70605-5271 | 2015-06-11 |
| 1730389933 | Jason R. Egloff | Student in an Organized Health Care Education/Training Program | 1367 Mohican Dr, Lake Charles, LA 70611-4919 | 2007-07-25 |
| 1356967434 | Manpreet Mand | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601 | 2020-06-24 |
| 1376168971 | Cody Gaupel | Student in an Organized Health Care Education/Training Program | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2020-06-10 |
| 1376162990 | Daniel Mark Seeser | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-04-14 |
| 1053940593 | Ifeoma Anagboso | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-04-06 |
| 1093343469 | Tucker Madden | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-03-31 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MATTHEW TAYLOR.
| 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.