DESHAWN TAYLOR (NPI# 1073753570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073753570 |
| Entity Type | Individual |
| Full Name | DESHAWN TAYLOR |
| Credential | M.D. |
| Practice Address |
1526 W Glendale Ave Suite 109 Phoenix AZ 85021-8576 |
| Mailing Address |
P.o. Box 685 None Waddell AZ 85355 |
| Practice Telephone | 4804478857 |
| Mailing Telephone | 4804478857 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A83243 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
41803 | AZ | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
14659 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1526 W GLENDALE AVE SUITE 109 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295846178 | Gary D Oreskovich | Dentist | 1526 W Glendale Ave, Ste.107, Phoenix, AZ 85021-8576 | 2006-08-31 |
| 1881062297 | Sawen Aziz | Dentist | 1526 W Glendale Ave, Ste 107, Phoenix, AZ 85021-8576 | 2015-09-02 |
| 1437339587 | Gary D. Oreskovich, D.d.s., P.C. | Dentist | 1526 W Glendale Ave, Ste 107, Phoenix, AZ 85021-8576 | 2007-11-06 |
| 1497815542 | Richard I Glazer | Dentist | 1526 W Glendale Ave, Suite 101, Phoenix, AZ 85021 | 2006-12-11 |
| 1629140314 | Christopher Ray Reavis | Dentist | 1526 W Glendale Ave, Suite #102, Phoenix, AZ 85021-8576 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414834 | Rachel Eliason | Obstetrics & Gynecology | 500 W Thomas Rd Ste 660, Phoenix, AZ 85013-4247 | 2015-04-09 |
| 1033389911 | Gynecolgy Center of Phoenix | Obstetrics & Gynecology | 2222 E Highland Ave Ste 225a, Phoenix, AZ 85016-4885 | 2008-03-06 |
| 1043302656 | Gordon Doyle Davis | Obstetrics & Gynecology | 300 W Clarendon, #100, Phoenix, AZ 85013 | 2006-09-29 |
| 1750398251 | Jack Obadia | Obstetrics & Gynecology | 2725 E Camelback Rd, # 150, Phoenix, AZ 85016-4312 | 2006-08-01 |
| 1215927892 | Paragi R Shah | Obstetrics & Gynecology | 19646 N 27th Ave, Ste 403, Phoenix, AZ 85027-4017 | 2005-10-25 |
| 1427046291 | Laurel A Kubby | Obstetrics & Gynecology | 3102 E Indian School Rd, #130, Phoenix, AZ 85016-6872 | 2005-10-06 |
| 1043204175 | Jeffry Weisfeld | Obstetrics & Gynecology | 2911 W Sierra St, Phoenix, AZ 85029-4327 | 2005-09-03 |
| 1891787693 | Kelly H Roy | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2005-08-17 |
| 1194717991 | Felipe L.g. Videla | Obstetrics & Gynecology | 1616 E Maryland Ave, Phoenix, AZ 85016-1302 | 2005-08-17 |
| 1720070790 | Franklin D Loffer | Obstetrics & Gynecology | 3410 N 4th Ave, Phoenix, AZ 85013-3905 | 2005-08-16 |
| Find all providers in PHOENIX | ||||
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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.