Provider Demographics
NPI:1265445407
Name:TAYLOR, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
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 1:632 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8817
Mailing Address - Country:US
Mailing Address - Phone:205-664-2420
Mailing Address - Fax:205-621-0145
Practice Address - Street 1:632 2ND ST NE
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8817
Practice Address - Country:US
Practice Address - Phone:205-664-2420
Practice Address - Fax:205-621-0145
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000227462086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051522246OtherBCBS OF AL
AL51160425OtherBCBS
AL102I770936OtherMEDICARE PTAN
ALP00153928OtherRR MEDICARE
AL051522245OtherBCBS OF AL
ALI07703OtherVIVA
AL009955295Medicaid