| Steven K Taylor, DO | |
| 
					3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033  | |
| (678) 455-2800 | |
| (770) 888-9998 | 
| Full Name | Steven K Taylor | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 3850 Windermere Pkwy Ste 105, Cumming, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144264268 | NPI | - | NPPES | 
| 2509744 | Other | OH | MOLINA MEDICAID | 
| 310917085079 | Other | OH MEDICAID CARESOURCE | |
| 000000185268 | Other | OH | UNISON MEDICAID | 
| 001714162 | Other | MOUNTAIN STATE BCBS | |
| 000000343883 | Other | ANTHEM BCBS | |
| P00158638 | Other | RR MEDICARE | |
| 3810000767 | Medicaid | WV | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 92842 (Georgia) | Secondary | 
| 207R00000X | Internal Medicine | 92842 (Georgia) | Primary | 
| Entity Name | Northside Primary Care Professional Services,llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Steven K Taylor, DO 3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033 Ph: (678) 455-2800  | Steven K Taylor, DO 3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033 Ph: (678) 455-2800  | 
Raghunath R Katragadda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325  | |
Otto Goyco,  Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Sanders Rd, Suite B, Cumming, GA 30041 Phone: 770-781-8840 Fax: 770-781-8098  | |
Ludy Lukose, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East Maple Street, Suite 101, Cumming, GA 30040 Phone: 770-888-6697 Fax: 770-888-6698  | |
Dr. Arinze Hector Duru, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200  | |
Dr. Jeffrey Desalvo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325  | |
Dr. Fernando R. Alvarez-bognar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937  | |
Dr. Tyler Inchul An, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040 Phone: 404-446-0600 Fax: 404-446-0601  |