Provider Demographics
NPI:1366436206
Name:TAYLOR, STEVER JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVER
Middle Name:JOHN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:321 N WASHINGTON ST
Mailing Address - Street 2:PO BOX 220
Mailing Address - City:MEXICO
Mailing Address - State:MO
Mailing Address - Zip Code:65265-2755
Mailing Address - Country:US
Mailing Address - Phone:573-581-1129
Mailing Address - Fax:573-581-6994
Practice Address - Street 1:321 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-2755
Practice Address - Country:US
Practice Address - Phone:573-581-1129
Practice Address - Fax:573-581-6994
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7440207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080035505OtherRR MEDICARE
MO200196707Medicaid
0100662OtherUNITED HEALTHCARE
110490OtherHEALTHLINK
1946OtherHEALTHCARE USA
4313462860002OtherCIGNA
7795179OtherAETNA HEALTHCARE
MOBLC002131POtherBLUE CHOICE
110377OtherMERCY HEALTH CARE
MO5728OtherBB ALL
MO5728OtherBB ALL