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NPI Code Detail

MEDICARE: SARA TAYLOR PA-C

MEDICARE: SARA TAYLOR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1225475296
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA TAYLOR PA-C
Provider Business Mailing Address
First Line : 3400 LAFAYETTE RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1147
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-297-7433
Provider Business Practice Location Address
First Line : 3400 LAFAYETTE RD STE 200
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46222-1147
Country : US
Telephone Number : 317-291-7422
Fax Number : 317-297-7433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 04/03/2026

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Directions to “ SARA TAYLOR PA-C” Practice Location

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