| John Thomas Taylor, MD | |
|
1331 State St, La Porte, IN 46350-3112 | |
| (219) 326-5700 | |
| (219) 326-8131 |
| Full Name | John Thomas Taylor |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1331 State St, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891891156 | NPI | - | NPPES |
| 100215330 | Medicaid | IN | |
| 000001589986 | Other | IN | ANTHEM |
| 000000587935 | Other | IN | ANTHEM, BCBS |
| 000001623828 | Other | IN | ANTHEM |
| 000001589732 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01027579A (Indiana) | Primary |
| Entity Name | Saint Joseph Regional Medical Center- Plymouth Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538585187 PECOS PAC ID: 9537071337 Enrollment ID: O20031223000588 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Entity Name | 219 Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
| Mailing Address | Practice Location Address |
|---|---|
| John Thomas Taylor, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-4004 | John Thomas Taylor, MD 1331 State St, La Porte, IN 46350-3112 Ph: (219) 326-5700 |
Dr. Lyjia O'layinka Strachan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 | |
Julius Rodney Ellis, MD FACOG Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-362-4690 Fax: 219-362-4692 | |
Dr. Michael D Allen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 | |
Cynthia M Phelan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1300 State St, Suite 2e, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 | |
Aileen G Stiller, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 |