1629303581 NPI number — TAYLOR MEDICAL ASSOCIATES P.C.

Table of content: DR. HANNAH MARGARET JOYNER OD (NPI 1093330433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629303581 NPI number — TAYLOR MEDICAL ASSOCIATES P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TAYLOR MEDICAL ASSOCIATES P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629303581
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 W OLIVE ST
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SCRANTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18508-2572
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-969-0663
Provider Business Mailing Address Fax Number:
570-969-9697

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAYLOR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18517-1415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-562-0421
Provider Business Practice Location Address Fax Number:
570-986-0005
Provider Enumeration Date:
10/11/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BUYO
Authorized Official First Name:
GLENN
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
FAMILY PHYSICIAN
Authorized Official Telephone Number:
570-562-0421

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  OS013728 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: OS013728 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1025560600001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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