Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer A Gorham, PA-C

Individual provider Physician Assistant · NPI 1508251042

Jennifer A Gorham, PA-C is a Physician Assistant in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3009 N Ballas Rd Ste 359C
Saint Louis, MO 63131-2324
Phone: (314) 996-3520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11525 Olde Cabin Rd, Saint Louis, MO 63141-7146 — (314) 997-0554

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2015008771 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2015008771 (MO)

Record details

NPI number1508251042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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