Owen C Taylor, MD | |
1060 Peerless Crossing Dr, Suite 200, Cleveland, TN 37312-3785 | |
(423) 479-4165 | |
(423) 476-9360 |
Full Name | Owen C Taylor |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1060 Peerless Crossing Dr, Cleveland, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255305769 | NPI | - | NPPES |
31831101 | Medicaid | TN | |
5598165 | Other | TN | AETNA |
4179106 | Other | SC | BCBS |
203351668A | Medicaid | GA | |
4179106 | Other | TN | BCBS |
203351668B | Medicaid | GA | |
3183114 | Medicaid | TN | |
4131848 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11116 (Tennessee) | Primary |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Owen C Taylor, MD 1060 Peerless Xing Nw, Suite 200, Cleveland, TN 37312-3784 Ph: (423) 479-4165 | Owen C Taylor, MD 1060 Peerless Crossing Dr, Suite 200, Cleveland, TN 37312-3785 Ph: (423) 479-4165 |
Sarah Jeanne Wood, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2390 N Ocoee St, Cleveland, TN 37311 Phone: 423-339-0300 Fax: 423-709-0543 | |
Azhar Sheikh, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Ahmad Machhour Ibrahimbacha, M,D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 110 Dunhill Pl Nw, Cleveland, TN 37311 Phone: 423-476-2212 Fax: 423-476-7022 | |
Jonathan Powell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4312 Holiday Inn Express Way Nw Ste 203, Cleveland, TN 37312 Phone: 423-778-5661 Fax: 423-778-5664 | |
Samir Rahbe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Westside Dr Nw, Cleveland, TN 37312 Phone: 423-472-2155 Fax: 423-472-1913 | |
William F Buchner, Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 Chambliss Ave Nw, Cleveland, TN 37311 Phone: 423-559-2800 Fax: 423-559-0532 | |
Dr. Syed A Agha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2292 Chambliss Ave Nw Ste F, Cleveland, TN 37311 Phone: 423-919-1577 |