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MARK ALAN TAYLOR MD, PHD
NPI 1235931114
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since March 24, 2025PECOS Enrolled
2215 FULLER RD, ANN ARBOR, MI 48105(734) 845-5290 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Alan Taylor Md, Phd NPPES

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

MARK ALAN TAYLOR MD, PHD (NPI 1235931114) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351053864APP25) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235931114
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARK ALAN TAYLORCredential: MD, PHD
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address1500 E Medical Center Dr., 3116 Tc, Spc 5368Ann Arbor, MI 48109 · (734) 998-2020
Phone(734) 845-5290
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1235931114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351053864APP25
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2215 FULLER RD, Ann Arbor, MI 48105
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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)

Mark Alan Taylor Md, Phd 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.

Other Providers at the Same Location NPPES 20

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

MS. CONSTANCE LAROSA RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
THOMAS F CURRAN
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5342
MRS. NICHELLE BOWMAN RN
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3914
MRS. CAREY ANN MICHEL RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 222-4230
JACQUELYN VANZILE LPCC
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
CARRIE JO HERNANDEZ RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5598
ERIC PATTERSON PTA
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3829
MS. AMIE RICHARDSON
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

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 1235931114. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Mark Taylor located?

Mark Taylor practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 845-5290.

What is Mark Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Taylor was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.