Provider Demographics
NPI:1932590692
Name:ST. AMOUR, TAYLOR CAVANAUGH (MD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:CAVANAUGH
Last Name:ST. AMOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TAYLOR
Other - Middle Name:CAVANAUGH
Other - Last Name:SUTCLIFFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-322-2363
Mailing Address - Fax:615-343-5365
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-0605
Practice Address - Fax:615-936-0605
Is Sole Proprietor?:No
Enumeration Date:2015-02-16
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN641682086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ041568Medicaid