Dr. Justin Marcus Buckley Taylor, MD
Family Medicine in Auburn, ME. Individual provider (NPI-1).
NPI number1801645528
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1801645528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Marcus Buckley Taylor
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2024
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD27904 | ME | Yes |
Practice location
789 Minot AveAuburn, ME 04210-3924
Phone 207-795-8475
Mailing address
625 Post Oak DrCoppell, TX 75019-2460
Phone 682-330-9983
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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