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

Individual provider Physician Assistant · NPI 1336510783

Taylor Eversole, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with SSM Cardinal Glennon Children's Hospital, a 33-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 268-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2015035763 (MO)

Record details

NPI number1336510783
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 12, 2015
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address1465 S Grand Blvd, Saint Louis, MO 63104-1003

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ssm Cardinal Glennon Children'S Hospital — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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