Jeremy Taylor (NPI# 1770981334, PAC ID# 9638495955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1770981334 |
| PAC ID by PECOS | 9638495955 |
| Professional Enrollment ID | I20150304001804 |
| Full Name | Jeremy Taylor |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Address |
500 Hospital Dr Wetumpka AL 36092-1625 |
| Phone Number | 3345143848 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8426075508 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| 010097 | ELMORE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1725 Pine St, Montgomery, AL 36106-1109 | 3342938000 | MONTGOMERY ANESTHESIA ASSOCIATES, PC |
| 500 Hospital Dr, Wetumpka, AL 36092-1625 | 3345143848 | IVY CREEK OF ELMORE LLC |
| Organization Legal Name | IVY CREEK OF ELMORE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi I Criswell | Nurse Practitioner | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Leslie Pendergrass | Nurse Practitioner | Ivy Creek of Elmore LLC | 4412 Hogan Rd, Deatsville, AL 36022-3400 |
| Martin A Lyons Jr. | Family Medicine | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brandy Erin Laurenzi | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| Jeana Ann Murphy | Nurse Practitioner | Ivy Creek of Elmore LLC | 41 Cambridge Ct, Wetumpka, AL 36093-1261 |
| James F Mracek Ii | Family Practice | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Street Address |
500 HOSPITAL DR |
| City | WETUMPKA |
| State | AL |
| Zip | 36092-1625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Major Boateng | Anesthesiology | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Wanda A Isdell | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Nandini Chhitwal | Rheumatology | Fauquier Physician Practices LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Karen H Grosh | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Jonathan Hullett | Anesthesiology | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Susan Coble | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Christine S Snell | Emergency Medicine | Virginia Emergency Medicine Assoicates | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Mohammad Rasheed | Physician Assistant | Adfinitas Health At Fauquier, LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Deborah D Kvetensky | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Mary T Ohanley | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia (virginia), LLC | 500 Hospital Dr, Warrenton, VA 20186-3027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi I Criswell | Nurse Practitioner | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| James F Mracek Ii | Family Practice | Ivy Creek of Elmore LLC | 807 Jackson Trace Rd, Wetumpka, AL 36092-1504 |
| Janice M Seip | Certified Registered Nurse Anesthetist (crna) | Ivy Creek of Elmore LLC | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Scott Berl | Diagnostic Radiology | Radiology Group, P.a. | 500 Hospital Dr, Wetumpka, AL 36092-1625 |
| Sherman L Armstrong | General Surgery | Ivy Creek of Elmore LLC | 515 Hospital Dr, Wetumpka, AL 36092-1626 |
| Brian E Richardson | Urology | Jackson Hospital and Clinic, Inc. | 515 Hospital Dr, Suite A, Wetumpka, AL 36092-1626 |
| Spencer Coleman Sr. | Family Medicine | 73970 Tallassee Hwy, Wetumpka, AL 36092-1698 | |
| Bobby J Luster | Chiropractic | 106 Court St, Wetumpka, AL 36092-2709 | |
| Dixie D Kidd | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Justin D Clutter | Family Practice | American Family Care Inc | 4452 Us Hwy 231, Wetumpka, AL 36092-3328 |
| Find all physicians in zip 36092 | |||
| City | WETUMPKA |
| Zip Code | 36092 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WETUMPKA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jeremy 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.