Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Maximilian Taylor, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699206193

Mr. Maximilian Taylor, DO is a Family Practice in Boise, Idaho. Graduated from Western University of Health Sciences College of Dental Med in 2019, 7 years ago. Practices with Peacehealth Medical Group, a 254-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3299 Hilyard St, Eugene, OR 97405-3721 — (541) 222-8620
  • 27880 Highway 101, Gold Beach, OR 97444-9655 — (541) 373-0245

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MRO-1834 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699206193
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2017
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2019 (7 years in practice)
Group practice Peacehealth Medical Group — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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