| Susan Johnson Taylor, MD | |
|
Horizon Medical, Pc, 1445 Sheldon, Suite 301, Grand Haven, MI 49417 | |
| (616) 847-2500 | |
| (616) 847-6719 |
| Full Name | Susan Johnson Taylor |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | Horizon Medical, Pc, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821093816 | NPI | - | NPPES |
| 4685205 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301048050 (Michigan) | Primary |
| Entity Name | Santiam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
| Entity Name | Santiam Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992149322 PECOS PAC ID: 0345474748 Enrollment ID: O20131017000538 |
| Entity Name | Obhg Oregon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528585148 PECOS PAC ID: 2365776390 Enrollment ID: O20190626000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Johnson Taylor, MD Horizon Medical, Pc, 1445 Sheldon, Suite 301, Grand Haven, MI 49417 Ph: (616) 847-2500 | Susan Johnson Taylor, MD Horizon Medical, Pc, 1445 Sheldon, Suite 301, Grand Haven, MI 49417 Ph: (616) 847-2500 |
Milton Gary Robertson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1445 Sheldon Rd, Suite 301, Grand Haven, MI 49417 Phone: 616-847-2500 Fax: 616-847-6719 |