Provider Demographics
NPI:1346234408
Name:TAYLOR, WILLIAM M (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-5001
Mailing Address - Fax:717-851-5114
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-5001
Practice Address - Fax:717-851-5114
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432424207ZN0500X, 207ZP0102X
NY220597207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA249211OtherUNISON-WMG
PA7492122OtherAETNA
PA30124659OtherAMERIHEALTH MERCY - WSRH
PA001800223Medicaid
PA50080019OtherCAPITAL BLUE CROSS-WMG
PA119719OtherGEISINGER HEALTH PLAN
PA30156218OtherAMERIHEALTH CARITAS - GH
NY02151820Medicaid
PA20080281OtherAMERIHEALTH MERCY-WMG
PA212123OtherJOHNS HOPKINS
PA569078OtherHIGHMARK BLUE SHEILD
PA212123OtherJOHNS HOPKINS
PA30156218OtherAMERIHEALTH CARITAS - GH
PA7492122OtherAETNA
PA50080019OtherCAPITAL BLUE CROSS-WMG
NYCC1117Medicare ID - Type Unspecified
PA131685GVQMedicare PIN