DR. JACQUELINE L TAYLOR (NPI# 1972586113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972586113 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE L TAYLOR |
| Other Name | JACQUELINE LOUISE AURELIA |
| Credential | MD |
| Practice Address |
1435 E 12 Mile Rd Madison Heights MI 48071-2653 |
| Practice Telephone | 2485432229 |
| Practice Fax Number | 2485451023 |
| Mailing Telephone | 2485432229 |
| Mailing Fax Number | 2485451023 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301076014 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 911 E 9 Mile Rd, Ferndale, MI 482201934 | 2485432229 | 2485451023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1114424272 | Jacqueline Marie Taylor | Counselor | 1769 E Moody Blvd, Bunnell, FL 32110-6355 | 2018-04-06 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1053951624 | Jacqueline Taylor | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-13 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1932670858 | Jacqueline Taylor | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-12-17 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1962927764 | Jacqueline Elaine Taylor | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2017-08-14 |
| 1780034967 | Jacqueline Taylor | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-17 |
| Street Address |
1435 E 12 MILE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699247197 | Lacey Waits | Nurse Practitioner | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2018-12-20 |
| 1841451085 | Soyoung Bae | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2008-06-20 |
| 1508928847 | Davincii Obstetrics & Gynecology Plc | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1841451085 | Soyoung Bae | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2008-06-20 |
| 1508928847 | Davincii Obstetrics & Gynecology Plc | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
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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.