Provider Demographics
NPI:1235128281
Name:TAYLOR, STEVEN BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4172 INDIAN RIPPLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45440-3286
Mailing Address - Country:US
Mailing Address - Phone:937-490-2090
Mailing Address - Fax:937-490-2780
Practice Address - Street 1:4172 INDIAN RIPPLE RD STE B
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-3286
Practice Address - Country:US
Practice Address - Phone:937-490-2090
Practice Address - Fax:937-490-2780
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350732602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2855003Medicaid
OHH275040Medicare PIN