LAUREL ANN TAYLOR (NPI# 1598755613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598755613 |
| Entity Type | Individual |
| Full Name | LAUREL ANN TAYLOR |
| Credential | M.D. |
| Practice Address |
4600 Breton Rd Se Suite 103 Kentwood MI 49508-5262 |
| Practice Telephone | 6166568600 |
| Practice Fax Number | 6166568601 |
| Mailing Telephone | 6166568600 |
| Mailing Fax Number | 6166568601 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301086736 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4785935 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666409 | Laurel Key Taylor | Mastectomy Fitter | 285 Glynn St S Ste 104, Fayetteville, GA 30214-2015 | 2019-12-17 |
| 1215310511 | Laurel Taylor | Pharmacist | 132 Elwood Ln, Virgie, KY 41572-9030 | 2015-07-04 |
| 1689142465 | Laurel Taylor | Social Worker | 801 Argonne Dr, Baltimore, MD 21218-1943 | 2018-11-09 |
| 1891950622 | Laurel Elizabeth Taylor | Dentist | 1410 Plaza West Rd, Winston-salem, NC 27103-1401 | 2008-07-21 |
| 1902902489 | Laurel Marie Taylor | Physician Assistant | 75 Francis St, Brigham & Women's, Tower 3a, Cardiac Arrhythmia, Boston, MA 02115-6110 | 2006-09-15 |
| Street Address |
4600 BRETON RD SE SUITE 103 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436836 | George S Bruins | Family Medicine | 4600 Breton Rd Se, Ste 102, Kentwood, MI 49508-5220 | 2005-06-10 |
| 1487093860 | Jason Eric Essenberg | Family Medicine | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508 | 2013-06-19 |
| 1609215086 | John Devlin Sprague | Family Medicine | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2013-06-19 |
| 1295077634 | Nora Hurley | Physician Assistant | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2013-03-25 |
| 1598021487 | Karen M Revitte | Nurse Practitioner | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2012-04-05 |
| 1912282732 | Maria Bosch | Physician Assistant | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2011-10-12 |
| 1770892093 | Erin Rebecca Barrett | Physician Assistant | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2010-10-04 |
| 1053623074 | Spectrum Health Primary Care Partners | Family Medicine | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2010-07-07 |
| 1871648576 | Sharon Cabansag | Family Medicine | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2007-01-24 |
| 1528099884 | Bonnie L. Taylor | Family Medicine | 4600 Breton Rd Se, Suite 102, Kentwood, MI 49508-5262 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119241 | Shauna Alexis Baker | Pediatrics | 4600 Breton Rd Se, Suite 103, Kentwood, MI 49508-5262 | 2005-10-28 |
| 1114917226 | Ellen Marie Kruggel | Pediatrics | 4600 Breton Rd Se, Suite 103, Kentwood, MI 49508-5262 | 2005-10-28 |
| 1841289956 | Hugh Kelley Riley | Pediatrics | 4600 Breton Rd Se, Suite 103, Kentwood, MI 49508-5262 | 2005-10-20 |
| 1346239647 | Pediatric Partners Plc | Pediatrics | 4600 Breton Rd Se, Suite 103, Kentwood, MI 49508-5262 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
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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.