JEFFERY GRANT TAYLOR (NPI# 1366773376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366773376 |
| Entity Type | Individual |
| Full Name | JEFFERY GRANT TAYLOR |
| Credential | MPAS, PA-C |
| Practice Address |
126 Missouri Ave Fort Leonard Wood MO 65473-8952 |
| Mailing Address |
6 Humphreys St Fort Leonard Wood MO 65473-1402 |
| Practice Telephone | 5735961509 |
| Mailing Telephone | 7193525383 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1091583 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588747737 | Jeffery Y. Taylor | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-10-23 |
| 1770075327 | Jeffery Taylor | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2018-05-30 |
| 1407195506 | Jeffery Alan Taylor Sr. | Registered Nurse | 204 Meadows Dr, Grayling, MI 49738-2013 | 2013-02-08 |
| 1730364159 | Jeffery Karl Taylor | Orthopaedic Surgery | 10535 Hospital Way, Department of Orthopedic Surgery, Sacramento Vamc, Mather, CA 95655-4200 | 2008-01-03 |
| 1750443925 | Jeffery B Taylor | Dentist | 30100 Crown Valley Pkwy Ste 42, Laguna Niguel, CA 92677-2041 | 2006-12-14 |
| 1356318547 | Jeffery M Taylor | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2006-03-07 |
| Street Address |
126 MISSOURI AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-8952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138643 | Thomas Houston Hume II | Physician Assistant | 126 Missouri Ave, Glwach Attn Mcxp Ccs Cr, Fort Leonard Wood, MO 65473-8952 | 2005-10-19 |
| 1881052504 | Allan Anthony Bolido | Nurse Anesthetist, Certified Registered | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2016-02-09 |
| 1801260625 | Bridget Farris | Technician | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-11-17 |
| 1992181515 | Brian Michael Lowery | Nurse Anesthetist, Certified Registered | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-08-05 |
| 1922480722 | Nathaniel Louis Fielding | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-06-29 |
| 1609289362 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 126 Missouri Ave, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473-8952 | 2014-06-10 |
| 1033546148 | David F Boyd IIi | Nurse Practitioner | 126 Missouri Ave, General Leonard Wood Community Hospital, Fort Leonard Wood, MO 65473-8952 | 2013-10-03 |
| 1780022673 | Robert Eric Sapp Sr. | Pharmacist | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2013-06-12 |
| 1184061277 | Lachell Wardell | Pharmacist | 126 Missouri Ave, Stop (box #1240), Fort Leonard Wood, MO 65473-8952 | 2013-05-29 |
| 1114360351 | Gary Evans | Social Worker | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1437140357 | Gary Dale Nichols | Physician Assistant | 16th Street, Ctmc, Bldg 885, Fort Leonard Wood, MO 65473 | 2005-10-31 |
| 1336138643 | Thomas Houston Hume II | Physician Assistant | 126 Missouri Ave, Glwach Attn Mcxp Ccs Cr, Fort Leonard Wood, MO 65473-8952 | 2005-10-19 |
| 1336789767 | Jonathan Weiser | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-01-14 |
| 1669017562 | Benjamin Earle | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2019-11-14 |
| 1144695073 | Patrice Colston | Physician Assistant | 4430 Missouri Ave, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473-9098 | 2015-12-03 |
| 1922480722 | Nathaniel Louis Fielding | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-06-29 |
| 1851649214 | August Christopher Seeber | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2012-08-16 |
| 1457685497 | Chaddwick Merlyn Mcbeigh | Physician Assistant | 126 Missouri Ave, General Leonard Wood Army Community Hospitol, Fort Leonard Wood, MO 65473-8952 | 2009-09-23 |
| Find all providers in FORT LEONARD WOOD | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
Please comment or provide details below to improve the information on JEFFERY GRANT TAYLOR.
| 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.