NPIMap

Individual provider Active NPI

Stever John Taylor, MD

  • Family Medicine Physician
  • Mexico, MO
National Provider Identifier
1366436206
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7440 Issued in MO
Practice address
321 N Washington St
Mexico, MO 65265-2755
Phone
(573) 581-1129
Fax
(573) 581-6994
NPI assigned
Sep 7, 2005
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7440 MO Primary

Addresses

Primary practice location

321 N Washington St
Mexico, MO 65265-2755

Mailing address

321 N Washington St
PO Box 220
Mexico, MO 65265-2755
Phone (573) 581-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000030 MO Practitioner - Family Practice 3577693357 Receives reassigned benefits from 1 practitioner
Practice locations: Mexico, MO; Centralia, MO

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

321 N Washington St
Mexico, MO 65265-2755
Phone (573) 581-1129

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R7446MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N & R of Mexico LLC Past Accepting new patients
Raymond H. Wilbers, Inc. Past Accepting new patients
Bristol Care, Inc. Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1366436206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WASHINGTON ST",
            "address_2": "PO BOX 220",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652755",
            "telephone_number": "573-581-1129",
            "fax_number": "573-581-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WASHINGTON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652755",
            "telephone_number": "573-581-1129",
            "fax_number": "573-581-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEVER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

Verify at the official NPI Registry.