MEDICARE: DR. MICHAEL A TAYLOR 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	2085R0001X	Radiation Oncology Physician	MD00030322	WA
2	2085R0203X	Therapeutic Radiology Physician	MD00030322	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	920002779	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	015132002	OTHER	WA	GROUP HEALTH COOPERATIVE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	71397	OTHER	WA	LABOR AND INDUSTRIES
4	A00691099418298225	OTHER	WA	TRICARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P1624928	OTHER	WA	OXFORD HEALTH PLAN
8	02432	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1871596502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A TAYLOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 60671
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91716-0671
Country	:	US
Telephone Number	:	360-370-2873
Fax Number	:	360-818-2873

Provider Business Practice Location Address
First Line	:	381 W HORTON RD
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-7740
Country	:	US
Telephone Number	:	360-370-2873
Fax Number	:	360-818-2873

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

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	10/08/2025

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