Healthcare Provider Details

I. General information

NPI: 1124061346
Provider Name (Legal Business Name): DANA A. TAYLOR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 01/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 ALCOA HWY STE 270
KNOXVILLE TN
37920-1527
US

IV. Provider business mailing address

1234 SE MAGNOLIA EXT UNIT 1
OCALA FL
34471-3770
US

V. Phone/Fax

Practice location:
  • Phone: 865-251-4658
  • Fax: 865-251-4659
Mailing address:
  • Phone: 352-401-1218
  • Fax: 352-690-6954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberMD0000038034
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME138101
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: