DR. RAFI THOMAS KEVORKIAN


Address: 522 N New Ballas Rd Ste 317, Saint Louis, MO 63141-6840
Phone: 6366345865

DR. RAFI THOMAS KEVORKIAN (NPI# 1124073630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124073630
Entity Type Individual
Full Name DR. RAFI THOMAS KEVORKIAN
Credential MD
Practice Address 522 N New Ballas Rd Ste 317
Saint Louis
MO 63141-6840
Practice Telephone 6366345865
Practice Fax Number 6366888317
Mailing Telephone 6366345865
Enumeration Date 2006-05-23
Last Update Date 2015-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
108134 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RR MEDICARE P00413101 01
MO 205037823 05

Office Location

Street Address 522 N NEW BALLAS RD STE 317
City SAINT LOUIS
State MO
Zip Code 63141-6840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871782201 West County Neurological Psychiatry & Neurology 522 N New Ballas Rd Ste 317, Saint Louis, MO 63141-6840 2007-10-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023592946 Institute of Medicine LLC Internal Medicine 6824 Balson Ave, Saint Louis, MO 63143-2603 2018-09-17
1104235241 Generation Clinical Partners LLC Internal Medicine 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 2014-08-02
1558563890 Hassan Dawoud Elsiddig Internal Medicine 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 2007-05-31
1871795104 Shehla Sadiq Internal Medicine 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 2007-05-31
1184755118 Geromed, LLC Internal Medicine 4675 S Grand Blvd, Saint Louis, MO 63111-1462 2007-03-09
1851446207 Poonam M Jain Internal Medicine 1 Meadow Acres, Saint Louis, MO 63124-1460 2007-01-24
1154484673 Miriam B Rodin Internal Medicine 1402 S Grand Blvd Rm 238, Division of Geriatric Medicine, Saint Louis, MO 63104-1004 2006-12-18
1992815906 Susan Robinson Reeds Internal Medicine 8 Millstone Campus Dr, Ste 1500, Saint Louis, MO 63146-5766 2006-08-30
1780602417 Monique Marie Williams Internal Medicine 969 N Mason Rd Ste 145, Saint Louis, MO 63141 2006-07-18
1902881279 Wit Anthony Jamry Internal Medicine 5621 Delmar Blvd, #105, Saint Louis, MO 63112-2656 2005-12-09
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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