Provider Demographics
NPI:1639632540
Name:TAYLOR, ALEXANDRA KATHERINE (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:KATHERINE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:KATHERINE
Other - Last Name:FEIERTAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6331 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6301
Mailing Address - Country:US
Mailing Address - Phone:513-481-3400
Mailing Address - Fax:
Practice Address - Street 1:6331 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6301
Practice Address - Country:US
Practice Address - Phone:513-481-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
OH35.143788207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program