Jaclyn Taylor (NPI# 1477787992, PAC ID# 6002049103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1477787992 |
| PAC ID by PECOS | 6002049103 |
| Professional Enrollment ID | I20161020000933 |
| Full Name | Jaclyn Taylor |
| Organization Legal Name | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC |
| Address |
1501 Hiland Ave Burley ID 83318-2688 |
| Phone Number | 8012841755 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284712464 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 131326 | CASSIA REGIONAL MEDICAL CENTER |
| 460006 | LDS HOSPITAL |
| 460058 | RIVERTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 Hiland Ave, Burley, ID 83318-2688 | 8012841755 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC |
| 5323 Woodrow St, Murray, UT 84107-5841 | 8017130600 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| 5444 Green St, Murray, UT 84123-5632 | 8012841755 | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| 5444 S Green St, Murray, UT 84123-5632 | 8015257770 | IHC HEALTH SERVICES INC |
| 5444 S Green St, Summit Physician Specialists, Murray, UT 84123-5632 | 8015257770 | IHC HEALTH SERVICES INC |
| Organization Legal Name | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Lamb | Diagnostic Radiology | Mountain Medical Physician Specialists of Idaho PC | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Street Address |
1501 HILAND AVE |
| City | BURLEY |
| State | ID |
| Zip | 83318-2688 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin T Jeppson | Obstetrics/gynecology | 1501 Hiland Ave, Suite B, Burley, ID 83318-2688 | |
| Dustin Blake Porter | General Surgery | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Devin Kent Higgins | Family Medicine | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Rand N Bracken | Certified Registered Nurse Anesthetist (crna) | 1501 Hiland Ave, Burley, ID 83318-2688 | |
| Paxon J Riding | Podiatry | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Gilbert F Murdoch | Certified Registered Nurse Anesthetist (crna) | 1501 Hiland Ave, Burley, ID 83318-2688 | |
| Aaron Frank Guercio | General Surgery | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| James Heng Rao | Internal Medicine | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Walter M Graham | Family Medicine | 1501 Hiland Ave, Suite L2, Burley, ID 83318-2686 | |
| Bryce W Millar | Orthopedic Surgery | Ihc Health Services Inc | 1501 Hiland Ave, Burley, ID 83318-2688 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Temp R Patterson | Otolaryngology | 1338 Hiland Ave, Suite C, Burley, ID 83318-1561 | |
| Laurel Krupski | Physician Assistant | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| Colby Scott Bingham | Dermatology | Stoddard and Bingham Medical Pllc | 1344 Hiland Ave, Suite D, Burley, ID 83318-1564 |
| R Jared Snarr | Certified Registered Nurse Anesthetist (crna) | 1344 Hiland Ave, Suite E, Burley, ID 83318-1564 | |
| Tyler Charles Roe | Pain Management | 1344 Hiland Ave, Suite A, Burley, ID 83318-1564 | |
| Bernard R Boehmer | Family Medicine | 1335 Albion Ave, Burley, ID 83318-1817 | |
| Lynn A Hansen | Chiropractic | 1210 Oakley Ave, Burley, ID 83318-1840 | |
| Tyler S Hurst | Chiropractic | 1246 Oakley Ave, Hurst Chiropractic Center, Burley, ID 83318-1840 | |
| Travis L Turner | Chiropractic | 1400 Normal Ave, Burley, ID 83318-1952 | |
| Ronald B Campbell | Family Medicine | R. Bret Campbell, Do and Assoc, LLC | 1404 Pomerelle Ave, Suite B, Burley, ID 83318-2013 |
| Find all physicians in zip 83318 | |||
| City | BURLEY |
| Zip Code | 83318 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BURLEY + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jaclyn Taylor.
| 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.