Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912520669 Individual Practitioner Female Practitioner

Dr. Taylor Ann Chishom , MD MPH

Plastic Surgery • Southlake, TX

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Chishom, MD MPH is a registered healthcare professional specializing in Plastic Surgery in Southlake, TX. Practice services are available at 415 E SOUTHLAKE BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 E Southlake Blvd Ste 101

Southlake, TX 760926279

Telephone 9726364902
Fax 8174218327

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Southlake, TX (399 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

CMS Verified: 2026-06-22
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA A185158

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License TX W4780

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1184837080

Doctor of Medicine (M.D.)

Dr. Casey Anderson , MD

Student in an Organized Health Care Education/Training Program

NPI 1558617464

Doctor of Medicine (M.D.)

Arvind Manisundaram

Surgery - Plastic and Reconstructive Surgery

NPI 1801282132

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 22, 2026

Registered at 415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 760926279 (Tel: 9726364902)

📍
Updated Business Mailing Address June 22, 2026

Registered at 415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 760926279 (Tel: 9726364902)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2026

Plastic Surgery (License #W4780 in TX)

📍
Updated Practice Location July 27, 2023

Registered at 700 WELCH RD, SUITE 400, PALO ALTO, CA 943041502 (Tel: 6507235824)

📍
Updated Business Mailing Address July 27, 2023

Registered at 700 WELCH RD, SUITE 400, PALO ALTO, CA 943041502 (Tel: 6507235824)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Plastic Surgery (License #A185158 in CA)

NPI Profile Active May 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2020

Registered at 1250 E MARSHALL ST, RICHMOND, VA 232985051 (Tel: 8048283039)

📍
Updated Business Mailing Address May 28, 2020

Registered at 1001 E BYRD ST APT 6317, RICHMOND, VA 232194291 (Tel: 8034774900)

👤
Provider Name / Credentials Updated May 28, 2020

Recorded as TAYLOR CHISHOM, MD MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 28, 2020

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: 1912520669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2020
Last Update: June 22, 2026
Sole Proprietor: No

Mailing Address

415 E Southlake Blvd Ste 101

Southlake, TX 760926279

Phone: 9726364902

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.