Active NPI
James Matthew Taylor, M.D.
- Student in an Organized Health Care Education/Training Program
- Saint Louis, MO
National Provider Identifier
1720281140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2004017101
- Practice address
- 3635 Vista Ave
Dept. of Anesthesiology, Desloge Towers 3Rd Floor
Saint Louis, MO 63110-0250 - Phone
- (314) 577-8750
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2004017101 | MO | Primary |
Addresses
Primary practice location
3635 Vista Ave
Dept. of Anesthesiology, Desloge Towers 3Rd Floor
Saint Louis, MO 63110-0250
Mailing address
4400 Lindell Blvd
15-C
Saint Louis, MO 63108-2464
Phone (314) 533-8788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004017101 | MO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720281140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 LINDELL BLVD",
"address_2": "15-C",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082464",
"telephone_number": "314-533-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"address_2": "DEPT. OF ANESTHESIOLOGY, DESLOGE TOWERS 3RD FLOOR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631100250",
"telephone_number": "314-577-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JAMES",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2004017101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.