ELLIS R TAYLOR JR. (NPI# 1033229117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033229117 |
| Entity Type | Individual |
| Full Name | ELLIS R TAYLOR JR. |
| Credential | MD |
| Practice Address |
232 S Woods Mill Rd Chesterfield MO 63017 |
| Mailing Address |
940 W Port Plaza Ste 270 St Louis MO 63146 |
| Practice Telephone | 3142056917 |
| Mailing Telephone | 3144530600 |
| Mailing Fax Number | 3144530083 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
R1C18 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202212783 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396929329 | Ellis Trice Taylor | Dentist | 408 East Market Street, Suite 106, Charlottesville, VA 22902-5261 | 2007-12-27 |
| Street Address |
232 S WOODS MILL RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869850 | Narasimha R Gondipalli | Specialist | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2005-05-31 |
| 1548869191 | Sara M Graham | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-10-23 |
| 1932738309 | Ryan Wettstein | Physical Medicine & Rehabilitation | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-04-07 |
| 1447889282 | Audra Michelle Kramer | Dietitian, Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2020-04-03 |
| 1851952345 | Christina Marie Yeast | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2019-06-25 |
| 1871086900 | Sarah O'leary | Nurse Anesthetist, Certified Registered | 232 S Woods Mill Rd, Chesterfield, MO 63017 | 2018-06-13 |
| 1417440835 | Kelley Roediger | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-06-11 |
| 1649777848 | Amanda Gonzales | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-04-12 |
| 1861991994 | Kimberli Louise Campbell | Nurse Practitioner | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-02-04 |
| 1891202362 | Rebecca Lasater | Social Worker | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2018-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1346202934 | Gary A Muncy | Anesthesiology | 232 S. Woods Mill Rd, Chesterfield, MO 63017-3417 | 2006-04-06 |
| 1811988942 | Stephen G Smith | Anesthesiology | 17300 N Outer 40, Suite 100, Chesterfield, MO 63005-1361 | 2005-10-28 |
| 1184728594 | Comprehensive Anesthesia Care PC | Anesthesiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2006-09-08 |
| 1407814882 | Anthony P. Friedrich Jr. | Anesthesiology | 224 S Woods Mill Rd, #665, Chesterfield, MO 63017-3451 | 2006-05-03 |
| 1396741666 | Robert F Schaefer Jr. | Anesthesiology | 17050 Baxter Rd, Chesterfield Surgery Center, LLC, Suite 110, Chesterfield, MO 63005-1422 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088900 | Midwest Pain Management Clinic LLC | Anesthesiology | 1011 Old Olive Way Apt 403, Creve Coeur, MO 63141-5959 | 2017-12-08 |
| 1235579749 | Nicki D Rippeteau | Anesthesiology | 4606 E 184th St, Belton, MO 64012-8323 | 2013-06-28 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| 1265727572 | Rebecca A Sanders | Anesthesiology | 1002 Mcintosh Cir Ste 6, Joplin, MO 64804-3600 | 2011-06-15 |
| 1457655748 | Melrich Inc | Anesthesiology | 625 Cannonbury Dr, Saint Louis, MO 63119-5312 | 2010-12-31 |
| 1700016250 | Oluseyi Fadegbola Ogundimu | Anesthesiology | 661 Fisher Dr, Sullivan, MO 63080-1533 | 2009-07-17 |
| 1467640235 | Shavonne L. Danner, M.d., L.L.C. | Anesthesiology | 2525 Glenn Henden Dr, Liberty, MO 64068 | 2007-10-05 |
| 1225171648 | Benjamin A Lampert | Anesthesiology | 1730 E Portland St, Springfield, MO 65804-1311 | 2007-02-15 |
| 1972651578 | Advanced Pain Specialists, Inc. | Anesthesiology | 7510 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-01-08 |
| 1750441374 | James M. Sturm | Anesthesiology | 856 Waterbury Falls Dr Ste 100, O Fallon, MO 63368-2219 | 2006-12-12 |
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| City | CHESTERFIELD |
| Zip Code | 63017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.