| Tammy J Taylor, DO | |
|
280 Looney Rd, 101, Piqua, OH 45356-4199 | |
| (937) 440-8687 | |
| (937) 773-8058 |
| Full Name | Tammy J Taylor |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 280 Looney Rd, Piqua, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366419350 | NPI | - | NPPES |
| 2424013 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34008079 (Ohio) | Primary |
| Entity Name | Upper Valley Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy J Taylor, DO 280 Looney Rd, 101, Piqua, OH 45356-4199 Ph: (937) 440-8687 | Tammy J Taylor, DO 280 Looney Rd, 101, Piqua, OH 45356-4199 Ph: (937) 440-8687 |
Dr. Shelsea Lea Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd Ste 203, Piqua, OH 45356 Phone: 937-440-8687 | |
Meredith Leigh Prenger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, Ste 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 | |
Dr. Paul W Weber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Looney Rd, Suite 101, Piqua, OH 45356 Phone: 937-440-8687 Fax: 937-773-8058 |