Conrad Martin Taylor (NPI# 1104125228, PAC ID# 6507034584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104125228 |
| PAC ID by PECOS | 6507034584 |
| Professional Enrollment ID | I20110802000283 |
| Full Name | Conrad Martin Taylor |
| Organization Legal Name | MAYFIELD ADVANCED MEDICAL LLC |
| Address |
5419 Jackson St Suite B Alexandria LA 71303-2322 |
| Phone Number | 3187872708 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8921356684 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 | 3187872708 | MAYFIELD ADVANCED MEDICAL LLC |
| Organization Legal Name | MAYFIELD ADVANCED MEDICAL LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Van Mol | Nurse Practitioner | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Ryan J Knoll | Chiropractic | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Samuel R Mayfield | Chiropractic | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Street Address |
5419 JACKSON ST SUITE B |
| City | ALEXANDRIA |
| State | LA |
| Zip | 71303-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten Van Mol | Nurse Practitioner | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Ryan J Knoll | Chiropractic | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Samuel R Mayfield | Chiropractic | Mayfield Advanced Medical LLC | 5419 Jackson St, Suite B, Alexandria, LA 71303-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cornel H Leblanc | Optometry | Visual Care and Contact Lens Clinic Inc | 5917 Jackson St Ext, Alexandria, LA 71303-2048 |
| Stephen M Leblanc | Optometry | Visual Care and Contact Lens Clinic Inc | 5917 Jackson St Ext, Alexandria, LA 71303-2048 |
| Lacy B Shaw | Optometry | 5615 -b Jackson St Ext, Alexandria, LA 71303-2275 | |
| James W Quillin | Psychologist, Clinical | James W Quillin, Phd, Appc | 1016 Calais Cir, Alexandria, LA 71303-2307 |
| Lauren D Stokes | Psychologist, Clinical | James W Quillin, Phd, Appc | 1016 Calais Cir, Alexandria, LA 71303-2307 |
| Jennifer Q Andrus | Clinical Social Worker | James W Quillin, Phd, Appc | 1016 Calais Cir, Alexandria, LA 71303-2307 |
| Robert C Smith | General Surgery | 5417 Jackson St Ext, Alexandria, LA 71303-2322 | |
| Ramona Lonsberry | Clinical Social Worker | 5615 Jackson St D, Alexandria, LA 71303-2326 | |
| Oladapo B Folarin | Psychiatry | 5615 Jackson St, Suite D, Alexandria, LA 71303-2326 | |
| David Manuel Remedios | General Surgery | 5615 Jackson St E, Alexandria, LA 71303-2326 | |
| Find all physicians in zip 71303 | |||
| City | ALEXANDRIA |
| Zip Code | 71303 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ALEXANDRIA + CHIROPRACTIC |
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| 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.