Chad R Taylor (NPI# 1871937417, PAC ID# 1658660212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1871937417 |
| PAC ID by PECOS | 1658660212 |
| Professional Enrollment ID | I20160520000884 |
| Full Name | Chad R Taylor |
| Organization Legal Name | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Address |
1815 N Stockton Hill Rd Kingman AZ 86401-4667 |
| Phone Number | 9287539629 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6406830751 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 | 9287539629 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| 1801 Mesquite Ave, Lake Havasu City, AZ 86403-5668 | 8004478405 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| 2010 Injo Dr, Lake Havasu City, AZ 86403-5707 | 7022541588 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Organization Legal Name | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis D Elliott | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 |
| Clinton R Martin | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 3650 S Point Cir, Suite 106, Laughlin, NV 89029-0422 |
| Jonathan G Bellew | Dermatology | Jaldeep H Daulat Do Professional Corporation | 3650 S Point Cir, Suite 106, Laughlin, NV 89029-0422 |
| Street Address |
1815 N STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip | 86401-4667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis D Elliott | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 |
| Carol J Newmyer | General Surgery | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Sanana Saasa Phillips | Nurse Practitioner | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Abhinav Ohri | Neurology | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Eric Trung Huynh | Family Medicine | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Victoria M Herrera | Physician Assistant | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Peter Alexander Snitovsky | Orthopedic Surgery | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Angela Marie Kogut | Physician Assistant | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Thien M Ngo | Physical Medicine and Rehabilitation | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Francesco J Sinopoli | Chiropractic | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Sarah L Knievel | Interventional Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Find all physicians in zip 86401 | |||
| City | KINGMAN |
| Zip Code | 86401 |
| Specialty | DERMATOLOGY |
| City + Specialty | KINGMAN + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.