MARISSA P TAYLOR PA-C
NPI 1598099806
Physician Assistant in Fenton, MO

Active since September 21, 2009
714 GRAVOIS RD STE 210, FENTON, MO 63026(636) 660-9850(636) 660-9851 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Feb 5, 2020, Mar 15, 2017 (3 updates tracked since 2017).

About Marissa P Taylor Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA P TAYLOR PA-C (NPI 1598099806) is an individual physician assistant in Fenton, Missouri, licensed in Missouri (2010014127) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1598099806
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA P TAYLORCredential: PA-C
Location Address714 GRAVOIS RD STE 210Fenton, MO 63026-7723
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 851-1000 · Fax (314) 851-4477
Fax(636) 660-9851
Sole ProprietorNo
Enumeration DateSeptember 21, 2009
Last NPPES UpdateAugust 15, 20223 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
NPI 1598099806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MO · 2010014127
Definition
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085003595 (IL)
714 GRAVOIS RD STE 210, Fenton, MO 63026

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
714 GRAVOIS RD STE 210
FENTON, MO 63026
Nurse Practitioner (Family)
714 GRAVOIS RD STE 210
FENTON, MO 63026
Family Medicine
714 GRAVOIS RD STE 210
FENTON, MO 63026
Nurse Practitioner (Family)
714 GRAVOIS RD STE 210
FENTON, MO 63026
Nurse Practitioner (Gerontology)
714 GRAVOIS RD STE 210
FENTON, MO 63026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Taylor's NPI number?

The NPI number for Marissa Taylor is 1598099806. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Marissa Taylor located?

Marissa Taylor practices at 714 Gravois Rd Ste 210, Fenton, MO 63026. The listed phone number is (636) 660-9850.

What is Marissa Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marissa Taylor was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.