| Dr Timothy Osborn Taylor, MD | |
|
2330 Coronado St, Idaho Falls, ID 83404-7407 | |
| (208) 552-1234 | |
| (208) 522-9580 |
| Full Name | Dr Timothy Osborn Taylor |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 37 Years |
| Location | 2330 Coronado St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033121322 | NPI | - | NPPES |
| DI379 | Other | ID | BLUE CROSS |
| 000012701 | Other | UT | CMS NORIDIAN ADM SERVICES |
| 804289600 | Medicaid | ID | |
| 0004082 | Other | ID | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | M5782 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Osborn Taylor, MD 8893 Saddlehorn, Idaho Falls, ID 83404-4957 Ph: (208) 523-6750 | Dr Timothy Osborn Taylor, MD 2330 Coronado St, Idaho Falls, ID 83404-7407 Ph: (208) 552-1234 |
Richard Alan Blatter, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Jared K. Manwaring, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2375 Coronado St, Idaho Falls, ID 83404 Phone: 208-552-1234 Fax: 208-529-1948 | |
Dr. Peter M Cannon, M.D. Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff Ave, Suite 4, Idaho Falls, ID 83404 Phone: 208-524-4511 Fax: 208-524-4540 | |
Dr. Duncan Dwaynne Harris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A205, Idaho Falls, ID 83404 Phone: 208-535-4580 | |
Dr. Roger H Tall, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 S Woodruff, Suite 8, Idaho Falls, ID 83404 Phone: 208-529-0633 Fax: 208-529-1948 |