MEDICARE: DR. PAUL A TAIGANIDES M.D.

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	208600000X	Surgery Physician	ME128502	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000514280	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467457291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A TAIGANIDES M.D.

Provider Business Mailing Address
First Line	:	519 MEDICAL OAKS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5961
Country	:	US
Telephone Number	:	740-393-6585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1451 YAUGER ROAD
Second Line	:	STE 2A
City	:	MOUNT VERNON
State	:	OH
Zip	:	43050
Country	:	US
Telephone Number	:	740-393-9024
Fax Number	:	740-393-9411

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	11/08/2016

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