MEDICARE: HANNAH ANNE TAYLOR DO

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
1	207P00000X	Emergency Medicine Physician	02008926A	IN
2	207P00000X	Emergency Medicine Physician	5151016263	MI

General Provider Information

NPI Number	:	1356046528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ANNE TAYLOR DO

Provider Business Mailing Address
First Line	:	608 UNION CHAPEL RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-9357
Country	:	US
Telephone Number	:	260-266-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	11109 PARKVIEW PLAZA DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1701
Country	:	US
Telephone Number	:	260-266-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	06/29/2026

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