WALTER L TAYLOR III (NPI# 1992709620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992709620 |
| Entity Type | Individual |
| Full Name | WALTER L TAYLOR III |
| Credential | M.D. |
| Practice Address |
6701 Heritage Pkwy Ste 110 Rockwall TX 75087-8799 |
| Practice Telephone | 9724128700 |
| Practice Fax Number | 9724129700 |
| Mailing Telephone | 9724128700 |
| Mailing Fax Number | 9724129700 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2013-12-13 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J9378 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 85700G | 01 |
| TX | 035932501 | 05 | |
| TX | AETNA | 2277317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474628 | Walter Taylor | Counselor | 1921 S Lumpkin Rd, Columbus, GA 31903-2727 | 2019-05-29 |
| 1629460720 | Walter Taylor | Marriage & Family Therapist | 300 S Gramercy Pl, 110, Los Angeles, CA 90020-4561 | 2015-02-26 |
| 1235438342 | Walter Theodore Taylor | Pharmacist | 1220 Jerry Clower Blvd, Yazoo City, MS 39194-3077 | 2011-03-15 |
| 1427380864 | Walter F Taylor Iv | Counselor | 11705 N Lee Ave, Oklahoma City, OK 73114-7936 | 2010-02-10 |
| 1659380442 | Walter Morley Taylor | Family Medicine | 320 N Leroux St Ste B, Flagstaff, AZ 86001-4535 | 2006-08-08 |
| 1558490011 | Walter Taylor | Case Manager/Care Coordinator | 446 Metroplex Dr, Suite A-100, Nashville, TN 37211-3139 | 2007-03-02 |
| 1447213509 | Walter T Taylor Jr. | Anesthesiology | 960 Avent Dr, Grenada, MS 38901-5230 | 2006-04-10 |
| 1912996877 | Walter Clyburn Taylor IIi | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-13 |
| 1659368025 | Walter Jordan Taylor | Radiology | 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 | 2005-09-30 |
| Street Address |
6701 HERITAGE PKWY STE 110 |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-8799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558477 | Krista Toliver | Nurse Practitioner | 6701 Heritage Pkwy, Suite 110, Rockwall, TX 75087-8747 | 2016-10-08 |
| 1235587460 | Jessica Kuehn | Marriage & Family Therapist | 6701 Heritage Pkwy, 170, Rockwall, TX 75087-8747 | 2016-05-27 |
| 1740648146 | Nicole Everett | Counselor | 6701 Heritage Pkwy, Suite #170, Rockwall, TX 75087-8747 | 2016-02-01 |
| 1912316332 | Frisco Spine, P.a. | Neurological Surgery | 6701 Heritage Pkwy, Suite 165, Rockwall, TX 75087-8747 | 2014-08-11 |
| 1669734018 | David L. Miller, D,d.s., Pa | Dentist | 6701 Heritage Pkwy, Suite 120, Rockwall, TX 75087-8799 | 2012-06-12 |
| 1629227855 | Henrik Mike-mayer, Md, Pa | Clinic/Center | 6701 Heritage Pkwy, Rockwall, TX 75087-8747 | 2008-09-11 |
| 1376716837 | Delano S Fabro Jr Do Pa | Internal Medicine | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8747 | 2008-04-05 |
| 1427269802 | Carol Kitay Villanueva | Internal Medicine | 6701 Heritage Pkwy, Ste 160, Rockwall, TX 75087-8747 | 2007-05-25 |
| 1760604508 | Delano S Fabro Jr. | Internal Medicine | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8747 | 2007-05-02 |
| 1740306208 | Wallace Orthopaedics and Sports Medicine | Orthopaedic Surgery | 6701 Heritage Pkwy, Suite 140, Rockwall, TX 75087-8747 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467652032 | Southwest Neurology, Pa | Specialist | 6701 Heritage Pkwy Ste 110, Rockwall, TX 75087-8799 | 2007-07-23 |
| 1770691123 | Richard Scott Mcpherson | Specialist | 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7809 | 2006-08-27 |
| 1215964358 | Monica Quynh Nguyen | Specialist | 2665 Market Center Dr Ste 100, Rockwall, TX 75032-6563 | 2006-06-26 |
| 1982685053 | Donald R Zivney Jr. | Specialist | 547 E I30, Rockwall, TX 75087-5408 | 2005-11-07 |
| 1275524597 | Daneane Pierce | Specialist | 1005 W Ralph Hall, Suite 201, Rockwall, TX 75032-6658 | 2005-11-04 |
| 1952393415 | Katherine R Makohon | Specialist | 4450 Tubbs Rd, Rockwall, TX 75032-6308 | 2005-08-19 |
| 1841282365 | David W Ritter | Specialist | 6705 Heritage Pkwy Ste 104, Rockwall, TX 75087-8729 | 2005-08-19 |
| 1902898356 | Stephanie R Shisler | Specialist | 1005 W Ralph Hall Pkwy Ste 107, Rockwall, TX 75032-6663 | 2005-08-19 |
| 1003350497 | Sleep Interpreters Pllc | Specialist | 1005 W Ralph Hall Pkwy, Suite 107, Rockwall, TX 75032-6658 | 2016-12-05 |
| 1780068379 | Lakeside Allergy Ent LLP | Specialist | 1320 Summer Lee Dr., Rockwall, TX 75032 | 2015-07-14 |
| Find all providers in ROCKWALL | ||||
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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.