Earl Taylor (NPI# 1780697987, PAC ID# 4789718206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1780697987 |
| PAC ID by PECOS | 4789718206 |
| Professional Enrollment ID | I20100818001104 |
| Full Name | Earl Taylor |
| Address |
2075 Edgewater Ct Stockton CA 95204-3862 |
| Phone Number | 2094660678 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050084 | ST JOSEPHS MEDICAL CENTER OF STOCKTON |
| 050122 | DAMERON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2075 Edgewater Ct, Stockton, CA 95204-3862 | 2094660678 |
| Street Address |
2075 EDGEWATER CT |
| City | STOCKTON |
| State | CA |
| Zip | 95204-3862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Hom | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| May Mardini | Physical Therapy | 3215 N California St, Suite 4, Stockton, CA 95204-3433 | |
| Antonia Aurora Fields | Physical Therapy | 3215 N California, Suite 4, Stockton, CA 95204-3433 | |
| Thomas Oliver | Chiropractic | 3020 Pacific Ave, Stockton, CA 95204-3639 | |
| Amrik Singh Sidhu | Family Medicine | 2800 N California St, Suite 10, Stockton, CA 95204-3758 | |
| Taymour E Malak | Family Medicine | 2800 N California St, Suite 11, Stockton, CA 95204-3758 | |
| Albina G Benabaye | Internal Medicine | 2800 N California St, Suite 16, Stockton, CA 95204-3758 | |
| Iftikhar A Malik | Gastroenterology | 2800 N California St, Suite 7, Stockton, CA 95204-3758 | |
| Fram Buhari | Cardiovascular Disease (cardiology) | San Joaquin Cardiology Medical Group Inc | 2800 N California St, 1 Dr Alvin Cacho, Stockton, CA 95204-3758 |
| Timothy Bechtel | General Surgery | 2800 N California St, Suite 6, Stockton, CA 95204-3758 | |
| Find all physicians in zip 95204 | |||
| City | STOCKTON |
| Zip Code | 95204 |
| Specialty | GENERAL SURGERY |
| City + Specialty | STOCKTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Earl Taylor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.