Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 018711 | ME |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | N5426 | TX |
NPI | 1891777215 |
---|---|
Provider Name | Gregory A Taggart |
First Address | Biddeford, ME 04005-9422 |
Second Address | Biddeford, ME 04005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2005 |
Last Update Date | 26/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1891777215 | (05) | MD |
1891777215 | ANTHEM (01) | ME |
4600780 | AETNA (01) | MH |
5014883 | CIGNA (01) | ME |
AA225687 | HARVARD PILGRIM (01) | ME |
F93663 | (02) |