| Michael George Taylor, MD | |
|
22646 Nine Mile Road, Ste C, St Clair Shores, MI 48080-1951 | |
| (586) 443-5400 | |
| (586) 443-5403 |
| Full Name | Michael George Taylor |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 42 Years |
| Location | 22646 Nine Mile Road, St Clair Shores, Michigan |
| 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 |
|---|---|---|---|
| 1154363240 | NPI | - | NPPES |
| 4134989 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 405365 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St John Hospital | Detroit, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Ascension River District Hospital | East china, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgeons Pc | 6002956265 | 15 |
| Henry Ford Health St. John Hospital | 3173424082 | 327 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Michael G Taylor Md Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902070014 PECOS PAC ID: 0547332454 Enrollment ID: O20080710000186 |
| Entity Name | Acute Care Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael George Taylor, MD 24535 Jefferson Ave, Ste C, Saint Clair Shores, MI 48080-2898 Ph: (586) 443-5400 | Michael George Taylor, MD 22646 Nine Mile Road, Ste C, St Clair Shores, MI 48080-1951 Ph: (586) 443-5400 |
Dr. Kumara Rama, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 23829 Little Mack, Suite 200, St Clair Shores, MI 48080 Phone: 586-772-4444 Fax: 586-772-4411 |