MR. RONALD CRESWELL TAYLOR (NPI# 1306932900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306932900 |
| Entity Type | Individual |
| Full Name | MR. RONALD CRESWELL TAYLOR |
| Credential | MA |
| Practice Address |
292 Lake Field Rd Waterloo SC 29384-0292 |
| Mailing Address |
292 Lake Field Rd Waterloo SC 29384 |
| Practice Telephone | 8649984146 |
| Mailing Telephone | 8649984146 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740841691 | Ronald Taylor | Occupational Therapist | 24076 Se Stark St Ste 210, Gresham, OR 97030-3376 | 2019-06-21 |
| 1770735706 | Ronald Earl Taylor | Physician Assistant | 700 Ne 13th Street, Ou Medical Center Trauma Center, Oklahoma City, OK 73104 | 2008-10-22 |
| 1538348479 | Ronald William Taylor Jr. | Neuromusculoskeletal Medicine & OMM | 415 Lakepointe Dr, #110, Altamonte Springs, FL 32701-5863 | 2007-10-28 |
| 1588706303 | Ronald N Taylor | Dentist | 1201 S Parker Rd, Suite 100, Denver, CO 80231-7552 | 2007-02-12 |
| 1689726382 | Ronald B Taylor | Family Medicine | 4331 N Rancho, Las Vegas, NV 89130 | 2007-01-16 |
| 1669533543 | Ronald Ray Taylor | Dentist | 3505 E Harmon, Bldg A, Las Vegas, NV 89121 | 2006-12-13 |
| 1700974870 | Ronald Brent Taylor | Dentist | 301 W Lake Mead Pkwy, Henderson, NV 89015-7073 | 2006-10-11 |
| 1124110341 | Ronald Scott Taylor | Dentist | 2910 Old Fort Pkwy, Murfreesboro, TN 37128-4158 | 2006-09-28 |
| 1023091402 | Ronald Joseph Taylor | Internal Medicine | 21216 Northwest Fwy Ste 560, Cypress, TX 77429-4697 | 2005-11-21 |
| 1760482178 | Ronald Stuart Taylor | Family Medicine | 426 N Detroit St, Xenia, OH 45385-2234 | 2005-07-28 |
| Street Address |
292 LAKE FIELD RD |
| City | WATERLOO |
| State | SC |
| Zip Code | 29384-0292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396046363 | Amanda Holman Smith | Occupational Therapist | 312 Relax St, Waterloo, SC 29384-3503 | 2010-11-08 |
| 1336683192 | Christine A Statom | Licensed Practical Nurse | 10457 Highway 221 S, Waterloo, SC 29384-3910 | 2016-12-14 |
| 1417140351 | Jennifer Ann Reynolds | Respiratory Therapist, Certified | 95 Driftwood Ln, Waterloo, SC 29384-4851 | 2007-08-23 |
| 1639452899 | Jane Workman Ivey | Pharmacist | 363 Ridgewood Dr, Waterloo, SC 29384-5011 | 2011-09-23 |
| 1770616013 | Carolina Health Centers, Inc. | Clinic/Center | 17124 Highway 72 W, Waterloo, SC 29384-5144 | 2007-03-14 |
| 1538397658 | Elcy Zimik | Family Medicine | 17124 Highway 72 W, Waterloo, SC 29384-5144 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395448 | Amanda Hurtt | Pharmacist | 961 N Market St Stop 1, Waterloo, IL 62298-1061 | 2020-10-31 |
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1588261705 | Mobile Therapy Centers of Iowa LLC | Behavioral Analyst | 3520 Inverness Rd, Waterloo, IA 50701-4634 | 2020-10-01 |
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1659986438 | Melissa Anne Stenberg | Registered Nurse | 65 Center St, Waterloo, NY 13165-1024 | 2020-09-09 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1568076594 | Michelle Ann Tsatsos | Speech-Language Pathologist | 24918 Mason St, Waterloo, NE 68069-4434 | 2020-09-08 |
| 1174137061 | Kristina Gates | Registered Nurse | 604 Lafayette St Ste 202, Waterloo, IA 50703-4708 | 2020-09-08 |
| 1528672904 | Emily Banzer Jensen | Speech-Language Pathologist | 71 Inslee St, Waterloo, NY 13165-1531 | 2020-09-03 |
| Find all providers in WATERLOO | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1316462682 | Samarah Greeves | Counselor | 3261 University Ave, Waterloo, IA 50701-2051 | 2017-08-08 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1427487537 | Tania Doverspike | Counselor | 3 Thurber Dr, Waterloo, NY 13165-9454 | 2013-11-08 |
| 1851728570 | Human Support Services | Counselor | 228 Bradford Ln, Apartment 5, Waterloo, IL 62298-3270 | 2013-09-27 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| Find all providers in WATERLOO | ||||
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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.