Provider Demographics
NPI:1821355355
Name:TAYLOR-THOMAS, JANELLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:
Last Name:TAYLOR-THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:201 DEFENSE HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8943
Mailing Address - Country:US
Mailing Address - Phone:443-481-3354
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:4175 N HANSON CT STE 209
Practice Address - Street 2:DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3184
Practice Address - Country:US
Practice Address - Phone:301-352-4007
Practice Address - Fax:301-352-3116
Is Sole Proprietor?:No
Enumeration Date:2012-04-22
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD81801207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDY8880008OtherBCBS
MD462305300Medicaid
MDY8880008OtherBCBS
MD462305300Medicaid