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

Mr. William Lorin Taylor III, PA-C

Individual provider Physician Assistant · NPI 1164152401

Mr. William Lorin Taylor III, PA-C is a Physician Assistant in Pocatello, Idaho. Qualified in 2023, 3 years ago. Practices with Mountain Pine Dermatology PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)

Record details

NPI number1164152401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESSeptember 30, 2023
Certification dateSeptember 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountain Pine Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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