DR. RON JAVDAN (NPI# 1093878258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093878258 |
| Entity Type | Individual |
| Full Name | DR. RON JAVDAN |
| Credential | M.D. |
| Practice Address |
6 Jungermann Cir Suite 203 Saint Peters MO 63376-1621 |
| Practice Telephone | 6369281822 |
| Practice Fax Number | 6364417033 |
| Mailing Telephone | 6369281822 |
| Mailing Fax Number | 6364417033 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R8435 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
6 JUNGERMANN CIR SUITE 203 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716688 | Mark S Wald | Internal Medicine | 6 Jungermann Cir, Suite 210, Saint Peters, MO 63376-1621 | 2005-11-02 |
| 1639423742 | Bjsph Physician Billing Services, LLC | Clinic/Center | 6 Jungermann Cir, Suite 205, Saint Peters, MO 63376-1621 | 2012-10-29 |
| 1699001958 | Tatyana Petrosova, M.d.p.c. | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2009-10-21 |
| 1821245457 | Subbarao Polineni, M.d. PC | Orthopaedic Surgery | 6 Jungermann Cir, Ste 107, Saint Peters, MO 63376-1621 | 2008-08-26 |
| 1487801635 | Laura Wagner, Inc | Specialist | 6 Jungermann Cir, Suite 211, Saint Peters, MO 63376-1621 | 2008-08-19 |
| 1114193083 | Jennifer L Keen | Nurse Practitioner | 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376-1621 | 2008-05-01 |
| 1255522819 | Respiratory Disease Consultants, LLC | Internal Medicine | 6 Jungermann Cir, Suite 121, Saint Peters, MO 63376-1621 | 2007-08-07 |
| 1396945168 | St. Charles Nephrology | Internal Medicine | 6 Jungermann Cir, Suite 215, Saint Peters, MO 63376-1621 | 2007-07-20 |
| 1629132519 | Josephine May Kelly | Psychologist | 6 Jungermann Cir, Suite 203, Saint Peters, MO 63376-1621 | 2006-12-22 |
| 1578630638 | William F Sill | Family Medicine | 6 Jungermann Cir, 108, Saint Peters, MO 63376-1621 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100650 | Mark D Taber | Internal Medicine | 5401 Veterans Memorial Pkwy Ste 101, Saint Peters, MO 63376-1681 | 2006-03-28 |
| 1720005705 | Lisa Schiller | Internal Medicine | 10 Hospital Dr, Ste 100, Saint Peters, MO 63376-1659 | 2006-07-16 |
| 1174565915 | Marc K Lewen | Internal Medicine | 10 Hospital Dr, Ste 100, Saint Peters, MO 63376-1659 | 2006-06-12 |
| 1962440883 | Diana L Westerfield | Internal Medicine | 10 Hospital Dr, Suite 100, Saint Peters, MO 63376-1659 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689128019 | Midwest Heart Institute | Internal Medicine | 1439 Us Highway 61, Ste A, Festus, MO 63028-4153 | 2016-08-15 |
| 1477984292 | Robert A. Brinkman, M.d., LLC. | Internal Medicine | 1040 N Mason Rd Ste 211, Creve Coeur, MO 63141 | 2013-12-04 |
| 1528407822 | Justin Patrick Sheehy | Internal Medicine | 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 | 2013-06-19 |
| 1952643520 | Meritas Health Corporation | Internal Medicine | 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 | 2013-03-21 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1427315423 | Paul Larsen | Internal Medicine | 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 | 2012-04-13 |
| 1275899718 | Bradley Carl Witbrodt | Internal Medicine | 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 | 2012-04-10 |
| 1194004952 | Jad Raffoul | Internal Medicine | 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 | 2011-08-11 |
| 1376839894 | Chetan P Huded | Internal Medicine | 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 | 2011-06-22 |
| 1982999462 | Philip L Mar | Internal Medicine | 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on DR. RON JAVDAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.