| Ellis R Taylor Jr, MD | |
|
232 S Woods Mill Rd, Chesterfield, MO 63017 | |
| (314) 205-6917 | |
| Not Available |
| Full Name | Ellis R Taylor Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 45 Years |
| Location | 232 S Woods Mill Rd, Chesterfield, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033229117 | NPI | - | NPPES |
| 202212783 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | R1C18 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Anesthesia Care Pc | 5799698551 | 54 |
| Entity Name | Comprehensive Anesthesia Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215975156 PECOS PAC ID: 5799698551 Enrollment ID: O20040602000607 |
| Entity Name | Eye Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528334182 PECOS PAC ID: 5698922581 Enrollment ID: O20120828000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis R Taylor Jr, MD 940 W Port Plaza, Ste 270, St Louis, MO 63146 Ph: (314) 453-0600 | Ellis R Taylor Jr, MD 232 S Woods Mill Rd, Chesterfield, MO 63017 Ph: (314) 205-6917 |
David Kaericher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6917 | |
Jan H Boon, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6917 | |
Johanna J Kang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6917 | |
Mohammad Bashiti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6917 | |
Dr. Patrick H Dolan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 17050 Baxter Rd, Chesterfield Surgery Ctr - Suite 110, Chesterfield, MO 63005 Phone: 636-537-0122 Fax: 636-537-0480 | |
Andrew Bradford James, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-434-1500 |