Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033359369 Individual Practitioner Male Practitioner

Jared Ross Taylor , PA-C

Physician Assistant • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Jared Taylor, PA-C is a registered healthcare professional specializing in Physician Assistant in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Wilford Hall Loop

Jbsa Lackland, TX 78236

Telephone 2102924774
Associated Practice Facility / Clinic
🏢 Warm Springs Road Cvs, L.l.c. Facility NPI 1578663910

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
37 Specialists

Practicing in Jbsa Lackland, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NV FNP-363LF0000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
414670 (AZ)
Commercial Insurance / Payer ID Arizona Regulatory Board Of Physician Assistants
4378 (AZ)
Commercial Insurance / Payer ID Nevada State Board Of Pharmacy
CS22548 (NV)
Commercial Insurance / Payer ID Nevada Board Of Medical Examiners
PA1142 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1932369311

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 20, 2018

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236 (Tel: 2102924774)

NPI Profile Active November 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2014

Registered at 4755 W ANN RD, NORTH LAS VEGAS, NV 890313424 (Tel: 8663892727)

📍
Updated Business Mailing Address November 12, 2014

Registered at 4755 W ANN RD, NORTH LAS VEGAS, NV 890313424 (Tel: 7026450332)

👤
Provider Name / Credentials Updated November 12, 2014

Recorded as JARED TAYLOR, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2014

Physician Assistant (License #FNP-363LF0000X in NV)

🟢
Initial NPI Registration & Enumeration February 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033359369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2009
Last Update: June 20, 2018
Sole Proprietor: No

Mailing Address

4755 W Ann Rd

North Las Vegas, NV 890313424

Phone: 7026450332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.