STEPHENS DAVIS TAYLOR (NPI# 1508841966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508841966 |
| Entity Type | Individual |
| Full Name | STEPHENS DAVIS TAYLOR |
| Credential | MD |
| Practice Address |
910 W 5th Ave Ste 900 Spokane WA 99204-2948 |
| Mailing Address |
Po Box 3649 Spokane WA 99220-3649 |
| Practice Telephone | 5098382531 |
| Practice Fax Number | 5097556580 |
| Mailing Telephone | 5083534941 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
60594978 | WA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301073233 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
237957 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AETNA | 4045741 | 01 |
| AL | 51553549 | 05 | |
| AL | BLUE CROSS/BLUE SHIELD | 515-16227 | 01 |
| Street Address |
910 W 5TH AVE STE 900 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097772 | Brianna Werhane | Nurse Practitioner | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2020-03-08 |
| 1073027314 | Lindsey Renae Schwaderer | Nurse Practitioner | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2017-11-22 |
| 1629443940 | Brian Zaro | Physician Assistant | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2015-12-11 |
| 1962849760 | Leigh T Moseman | Nurse Practitioner | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2013-06-03 |
| 1659557254 | Mohit Jain | Internal Medicine | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2008-01-14 |
| 1235273632 | Beejay Feliciano | Surgery | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2007-02-18 |
| 1508917261 | Ellie Enkhtuyaa Mueller | Internal Medicine | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2007-01-16 |
| 1669582870 | Ian C Riddock | Internal Medicine | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2006-08-30 |
| 1457364770 | David Bragin-sanchez | Internal Medicine | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2006-08-15 |
| 1851321442 | John Joseph Perry | Internal Medicine | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356646202 | Providence Physician Services Co | Surgery | 122 W 7th Ave, Ste 420, Spokane, WA 99204-2349 | 2011-01-24 |
| 1043524481 | Luke Xiaoli Zhan | Surgery | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2010-07-27 |
| 1285952085 | Lindsay Michelle Gates | Surgery | 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 | 2010-05-04 |
| 1235273632 | Beejay Feliciano | Surgery | 910 W 5th Ave Ste 900, Spokane, WA 99204-2948 | 2007-02-18 |
| 1669482154 | Adnan Z Rizvi | Surgery | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2006-08-08 |
| 1104874569 | Ryan D. Nachreiner | Surgery | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2006-05-05 |
| 1770547572 | Hassan Y. Tehrani | Surgery | 910 W 5th Ave, Suite 1000, Spokane, WA 99204-2966 | 2006-04-17 |
| 1154385847 | Mary Kathleen Reilly | Surgery | 122 W 7th Ave, 410 & 420, Spokane, WA 99204-2349 | 2006-04-12 |
| 1427011394 | Stephen P Murray | Surgery | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2006-04-10 |
| 1659334936 | Joseph Anton Davis | Surgery | 122 W 7th Ave, 420, Spokane, WA 99204-2349 | 2006-04-08 |
| Find all providers in SPOKANE | ||||
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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.