Healthcare Provider Details

I. General information

NPI: 1669016234
Provider Name (Legal Business Name): TAYLOR SMITH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR DOUGLAS

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8352
  • Fax: 330-543-3891
Mailing address:
  • Phone: 330-543-8352
  • Fax: 330-543-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number025914
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: