MARY B TAYLOR (NPI# 1174629257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174629257 |
| Entity Type | Individual |
| Full Name | MARY B TAYLOR |
| Credential | MD |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | (888) 815-2005 |
| Mailing Telephone | (888) 815-2005 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
13304 | MS | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
28959 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 38418511 | 05 | |
| BCBS | 4019556 | 01 | |
| TN | 3841852 | 05 | |
| RR MEDICARE | 370019646 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1699210096 | Mary Jay Taylor | Pharmacist | 4861 Atlas Cedar Way, Aberdeen, MD 21001-5602 | 2016-12-21 |
| 1255749347 | Mary Louise Taylor | Home Health Aide | 6779 Ardwell Dr, Canal Winchester, OH 43110-8784 | 2014-08-01 |
| 1780010694 | Mary Lauren Taylor | Counselor | 4200 Keller Haslet Rd, Fort Worth, TX 76244-8007 | 2013-09-24 |
| 1447503362 | Mary Janis Taylor | Pharmacist | 323 Nash Ave, Cookeville, TN 38501-3692 | 2012-10-16 |
| 1205186129 | Mary Ellen Taylor | Mechanotherapist | 3315 Fairbanks St, Anchorage, AK 99503-4145 | 2012-09-18 |
| 1720368731 | Mary Teresa Taylor | Licensed Practical Nurse | 594 Keys Dr, Elyria, OH 44035-2827 | 2011-08-22 |
| 1629221429 | Mary Jo Taylor | Licensed Practical Nurse | 64 John Crow Hill, Cherokee, NC 28719 | 2008-10-24 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881048395 | Josephine Stout | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2016-04-20 |
| 1336437136 | Laura Ashley Wright-sexton | Pediatrics | 2500 N State St, University of Mississippi Medical Center, Jackson, MS 39216-4500 | 2011-07-13 |
| 1043500739 | Padma P. Garg | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2011-04-14 |
| 1528276722 | Kasey Davis | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-19 |
| 1932314291 | Jennifer Ling Hong | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-05-11 |
| 1376696138 | Upa Pllc Critical Care | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1659455053 | Marek Janusz Grzeszczak | Pediatrics | 708 W Forest Ave, Jackson, TN 38301-3901 | 2006-10-24 |
| 1255345153 | Kathryn A. Young | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-28 |
| 1073559761 | Thomas Atchley Walker | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-21 |
| 1598709503 | Craig Kenneth Hallstrom | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-16 |
| Find all providers in JACKSON | ||||
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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.