DR. ROOSEVELT TAYLOR JR. (NPI# 1659449288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659449288 |
| Entity Type | Individual |
| Full Name | DR. ROOSEVELT TAYLOR JR. |
| Credential | MD |
| Practice Address |
9209 Elam Rd Ste 100 Roosevelt Taylor Jr Md Dallas TX 75217-7360 |
| Practice Telephone | 2143913700 |
| Practice Fax Number | 2143917195 |
| Mailing Telephone | 2143913700 |
| Mailing Fax Number | 2143917195 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D9896 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121397702 | 05 | |
| BLUE CROSS BLUE SHIELD | 00M973 | 01 |
| Street Address |
9209 ELAM RD STE 100 ROOSEVELT TAYLOR JR MD |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952623860 | Dr. Roosevelt Taylor Jr Pa | Obstetrics & Gynecology | 9209 Elam Rd Ste 100, Dallas, TX 75217-7360 | 2010-02-18 |
| 1821267014 | Angela Myles M.d., P.a. | Obstetrics & Gynecology | 9209 Elam Rd Ste 100, Dallas, TX 75217-7360 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc | Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134507007 | Robert William Gladney | Obstetrics & Gynecology | 4224 Swiss Ave Ste 201, Dallas, TX 75204-6670 | 2015-05-12 |
| 1366820250 | Casey Roth | Obstetrics & Gynecology | 3600 Gaston Ave Ste 601, Dallas, TX 75246-1806 | 2015-05-11 |
| 1952703373 | Unified Women's Healthcare of Texas Pllc | Obstetrics & Gynecology | 1717 Mckinney Ave, Suite 700, Dallas, TX 75202-1237 | 2014-09-17 |
| 1710399019 | Paula Noemi Lomba | Obstetrics & Gynecology | 5939 Harry Hines Blvd Fl 5, Dallas, TX 75235 | 2014-05-21 |
| 1114343241 | Vibrant Health Md, Pllc | Obstetrics & Gynecology | 9119 Cochran Bluff Ln, Dallas, TX 75220-5235 | 2014-03-13 |
| 1205279395 | Tara O'connor | Obstetrics & Gynecology | 7777 Forest Ln Ste 570, Dallas, TX 75230-2571 | 2013-04-09 |
| 1295083491 | Jose L Rodriguez | Obstetrics & Gynecology | 8160 Walnut Hill Ln Ste 328, Dallas, TX 75231-4370 | 2012-08-17 |
| 1194080440 | Rakesh Gupta Md Obstetrics and Gynecology, Pa | Obstetrics & Gynecology | 13215 Glad Acres, Dallas, TX 75234 | 2012-07-11 |
| 1144580325 | Grace Marie Mooken | Obstetrics & Gynecology | 7777 Forest Ln Suite D550, Dallas, TX 75230 | 2012-05-22 |
| 1275891632 | Bianca Marie Caram | Obstetrics & Gynecology | 712 N Washington Ave Ste 250, Dallas, TX 75246-1631 | 2012-04-24 |
| Find all providers in DALLAS | ||||
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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.