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

Individual provider Pediatrics Physician · NPI 1447418561

Tisa Alexis Taylor, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4510 Frankford Ave
Philadelphia, PA 19124-3602
Phone: (215) 744-1302
Fax: (215) 744-2544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD440235 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MT191370 (PA)

Record details

NPI number1447418561
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2008
Last updated in NPPESJune 25, 2010

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