Jennifer W Taylor (NPI# 1174809412, PAC ID# 6103084975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174809412 |
| PAC ID by PECOS | 6103084975 |
| Professional Enrollment ID | I20120224000337 |
| Full Name | Jennifer W Taylor |
| Organization Legal Name | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Address |
492 Main St Corinth ME 04427-3273 |
| Phone Number | 2072853435 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305755141 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201309 | MAYO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 492 Main St, Corinth, ME 04427-3273 | 2072853435 | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| 41 High St, Dexter, ME 04930-1311 | 2079245226 | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| 135 Park St, Milo, ME 04463-1729 | 2079437752 | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Organization Legal Name | HOSPITAL ADMINISTRATIVE DISTRICT 4 |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Simerly | Nurse Practitioner | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Abhijit S Shaligram | General Surgery | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Amanda M Young | Physician Assistant | Hospital Administrative District 4 | 135 Park St, Milo, ME 04463-1729 |
| Robert J Lodato | Internal Medicine | Hospital Administrative District 4 | 41 High St, Dexter, ME 04930-1311 |
| Lisa V Pelkey | Nurse Practitioner | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Lisa M Stout | Family Medicine | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Karen E Dow | Certified Registered Nurse Anesthetist (crna) | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Lori M Towne | Nurse Practitioner | Hospital Administrative District 4 | 891 W Main St, Suite 500, Dover Foxcroft, ME 04426-1064 |
| Jeyashree M Boardway | Physician Assistant | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Peter Martin Vanden Berg | General Surgery | Hospital Administrative District 4 | 897 W Main St, Dover Foxcroft, ME 04426-1029 |
| Street Address |
492 MAIN ST |
| City | CORINTH |
| State | ME |
| Zip | 04427-3273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeyashree M Boardway | Physician Assistant | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Michael A Ripley | Family Medicine | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Diane M Reynolds | Physician Assistant | Hospital Administrative District 4 | 492 Main St, Corinth, ME 04427-3273 |
| Maria E Ocasio | Family Medicine | Practice Associates Medical Group | 492 Main St, Chatham, NJ 07928-2142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Johnston | Occupational Therapy | Covey Physical Therapy | 284 Main St, Suite 3, Corinth, ME 04427-3029 |
| City | CORINTH |
| Zip Code | 04427 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORINTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer W 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.