Basic Information
| Provider Information | |||||||||
| NPI: | 1871856708 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAYLOR | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2350 MEADOWS BLVD | ||||||||
| Address2: | |||||||||
| City: | CASTLE ROCK | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801098405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204550655 | ||||||||
| FaxNumber: | 7204550057 | ||||||||
| Practice Location | |||||||||
| Address1: | 5200 DTC PKWY STE 400 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801112719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037450000 | ||||||||
| FaxNumber: | 3037733101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2012 | ||||||||
| LastUpdateDate: | 12/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/17/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | DR.0057296 | CO | Y | Allopathic & Osteopathic Physicians | Hospitalist | 207Q00000X | OT014462 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DR.0057296 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207R00000X | DR.0057296 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.