Dr John A Taylor, MD | |
307 S Broadway, Portland, TN 37148-1413 | |
(615) 325-6755 | |
(615) 325-6936 |
Full Name | Dr John A Taylor |
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Gender | Male |
Speciality | Family Medicine |
Location | 307 S Broadway, Portland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194711291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD15302 (Tennessee) | Primary |
Entity Name | Sumner Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475 |
Entity Name | Portland Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679230510 PECOS PAC ID: 0840677316 Enrollment ID: O20220523001412 |
Mailing Address | Practice Location Address |
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Dr John A Taylor, MD 307 S Broadway, Portland, TN 37148-1413 Ph: (615) 325-6755 | Dr John A Taylor, MD 307 S Broadway, Portland, TN 37148-1413 Ph: (615) 325-6755 |
Dr. Michael Dean Littell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway, Portland, TN 37148 Phone: 615-325-3100 Fax: 615-325-0076 | |
Mrs. Ronda M Worsham, RNMSNCS FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Redbud Dr Ste E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 | |
Pepito Salcedo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Redbud Dr, Suite E, Portland, TN 37148 Phone: 615-325-1206 Fax: 615-325-1245 | |
Dr. Ralph H. Ruckle, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 103 Redbud Dr, Suite C, Portland, TN 37148 Phone: 615-325-7337 Fax: 615-325-0164 | |
Timothy C Kuntz, P.A. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 307 S Broadway St, Portland, TN 37148 Phone: 615-323-9158 | |
Dr. Nicole Beall Jaques, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Redbud Dr, Emergency Department, Portland, TN 37148 Phone: 615-745-8150 |