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MR. MARK ALLEN TAYLOR IDC
NPI 1174738793
Military Health Care Provider - Independent Duty Corpsman in Minneapolis, MN

Active since May 14, 2007
5905 34TH AVE S, MINNEAPOLIS, MN 55450(612) 713-4849(612) 713-4644 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Allen Taylor Idc NPPES

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

MR. MARK ALLEN TAYLOR IDC (NPI 1174738793) is an individual independent duty corpsman provider in Minneapolis, Minnesota and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1174738793
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MARK ALLEN TAYLORCredential: IDC
Location Address5905 34TH AVE SMinneapolis, MN 55450-2900
Mailing Address5905 34th Ave SMinneapolis, MN 55450-2900 · (612) 713-4849 · Fax (612) 713-4644
Phone(612) 713-4849
Fax(612) 713-4644
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJanuary 30, 2008
✔ NPI 1174738793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
5905 34TH AVE S, Minneapolis, MN 55450
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ELIAS CEDILLO IV IDC
Military Health Care Provider (Independent Duty Corpsman)
5905 34TH AVE S
MINNEAPOLIS, MN 55450
Hennepin County (612) 713-4849
MISS SARAH RENE LIGGETT DO
Military Health Care Provider
5905 34TH AVE S
MINNEAPOLIS, MN 55450
Hennepin County (612) 713-4600

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 Mark Taylor's NPI number?

The NPI number for Mark Taylor is 1174738793. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Mark Taylor located?

Mark Taylor practices at 5905 34th Ave S, Minneapolis, MN 55450. The listed phone number is (612) 713-4849.

What is Mark Taylor's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Mark Taylor was last updated on January 30, 2008. 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.