MRS. MARY ELIZABETH TAYLOR PA-C
NPI 1053594267
Specialist in South Charleston, WV

Q: What is Mary Taylor's NPI number?

The NPI number for Mary Taylor is 1053594267. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Mary Taylor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Taylor was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2007PECOS Enrolled

117 7TH AVENUE, SOUTH CHARLESTON, WV 25303(304) 345-2255(304) 345-2112 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Mary Elizabeth Taylor Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELIZABETH TAYLOR PA-C (NPI 1053594267) is an individual specialist in South Charleston, West Virginia, licensed in West Virginia (347) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053594267

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. MARY ELIZABETH TAYLORCredential: PA-C

Location Address117 7TH AVENUESouth Charleston, WV 25303

Mailing Address117 7th AvenueSouth Charleston, WV 25303 · (304) 345-2255 · Fax (304) 345-2112

Phone(304) 345-2255

Fax(304) 345-2112

Sole ProprietorNo

Enumeration DateDecember 11, 2007

✔ NPI 1053594267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WV · 347

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

117 7TH AVENUE, South Charleston, WV 25303

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Taylor Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Taylor's NPI number?

The NPI number for Mary Taylor is 1053594267. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Mary Taylor located?

Mary Taylor practices at 117 7th Avenue, South Charleston, WV 25303. The listed phone number is (304) 345-2255.

What is Mary Taylor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mary Taylor enrolled in Medicare?

Yes. Mary Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Taylor was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.