Healthcare Provider Details

I. General information

NPI: 1609557842
Provider Name (Legal Business Name): TAYLOR MARIE WOODS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 09/03/2026
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 5TH AVE STE MA-42
MCKEESPORT PA
15132-2422
US

IV. Provider business mailing address

310 38TH ST FRNT
PITTSBURGH PA
15201-1206
US

V. Phone/Fax

Practice location:
  • Phone: 412-664-2000
  • Fax:
Mailing address:
  • Phone: 267-850-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA064689
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberMA064689
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: