MS. RAONAK EKRAM


Address: 1125 Madison St, Jefferson City, MO 65101-5227
Phone: 5736324800

MS. RAONAK EKRAM (NPI# 1255300133) 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) 1255300133
Entity Type Individual
Full Name MS. RAONAK EKRAM
Credential M.D.
Practice Address 1125 Madison St
Jefferson City
MO 65101-5227
Practice Telephone 5736324800
Practice Fax Number 5736324890
Mailing Telephone 5736324800
Mailing Fax Number 5736324890
Enumeration Date 2006-03-14
Last Update Date 2016-02-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
2003010143 MO Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
04-31400 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO BLUE CROSS AND BLUE SHIELD OF MISSOURI 1255300133 01
MO UNITED HEALTH CARE OF ALLSTATE 1255300133 01
MO PALMETTO GBA - RR MEDICARE PART B CN6539 01
BC/BS KANSAS CITY 36105014 01
FIRST GUARD 928179 01
MO MISSOURI CARE 1255300133 01
AETNA 7467204 01
MO CIGNA 1255300133 01
MO HEALTHLINK HMO 1255300133 01
MO MEDICAID OF MISSOURI 1255300133 01
MO MOLINA HEALTH CARE OF MISSOURI 1255300133 01
MO TRICARE WEST REGIONAL 1255300133 01
MO MEDICARE OF MISSOURI 123240007 01
MO COVENTRY HEALTH CARE NATIONAL NET 1255300133 01
MO HEALTHLINK PPO 1255300133 01
KS 200354280A 05
MO GHP 1255300133 01
MO AETNA 1255300133 01
MO GREAT WEST 1255300133 01
MO HEALTH CARE USA 1255300133 01
BC/BS OF KANSAS 105085 01
MO MERCY HEALTH CARE PLANS 1255300133 01

Office Location

Street Address 1125 MADISON ST
City JEFFERSON CITY
State MO
Zip Code 65101-5227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900085 Elizabeth A Blanchard Obstetrics & Gynecology 1125 Madison St, Jefferson City, MO 65101-5227 2005-05-23
1740807031 Courtney R Kunze Nurse Practitioner 1125 Madison St, Jefferson City, MO 65101-5200 2020-07-02
1528685906 Garrett Hull Family Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2020-07-01
1508499278 Amy L Wyatt Nurse Practitioner 1125 Madison St, Jefferson City, MO 65101-5227 2020-02-20
1982257960 Kahlil A Gaiters Student in an Organized Health Care Education/Training Program 1125 Madison St, Jefferson City, MO 65101-5200 2019-07-19
1710548821 Erin Nicole Smallmon Family Medicine 1125 Madison St, Jefferson City, MO 65101-5200 2019-06-28
1215598602 Brian Vause Family Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2019-06-26
1770147266 Heghineh Galstian Family Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2019-04-30
1659935005 Anna Marie Milner Registered Nurse 1125 Madison St, Jefferson City, MO 65101-5227 2019-04-30
1972076750 Jennifer Esther Wekenborg Physician Assistant 1125 Madison St, Jefferson City, MO 65101-5200 2019-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619468527 Lhcg Cxxxxiii, LLC Home Health 1125 Madison St Ste C, Jefferson City, MO 65101 2018-05-25
1396254629 Lauren Mellon Speech-Language Pathologist 6124 Falcon Lane, Jefferson City, MO 65101 2017-09-29
1518375708 Daven Nanda Pharmacist 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 2014-07-31
1699183228 Mark Nitz Pharmacist 2101 N Schotthill Dr, Jefferson City, MO 65101 2014-07-28
1386923472 Lorinda Jo Leer Occupational Therapist 1403 Riverside Drive, Jefferson City, MO 65101 2011-08-08
1124334503 Kimberly K Baumhoer Hearing Instrument Specialist 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 2010-08-24
1780867341 Health Enhancements, P.C. Family Medicine 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 2007-12-06
1336364819 Jerome Satorre Occupational Therapist 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 2007-04-17
1326263450 Bryan M. Pope, Dds Inc. Dentist 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 2007-04-16
1104948769 Kenneth Mark Skouby Social Worker 515a East Mccarty, Jefferson City, MO 65101 2007-04-04
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518101708 Nolyn C Nyatanga Internal Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2009-05-01
1457594814 Tamara V. Hopkins, M.d., L.L.C. Internal Medicine 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 2009-04-15
1336118785 Eston James Schwartz Internal Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2006-03-17
1932176591 Capital Region Medical Center Internal Medicine 1432 Southwest Blvd, Jefferson City, MO 65109 2006-03-02
1154302677 Scott A Anderson Internal Medicine 1432 Southwest Blvd, Jefferson City, MO 65109-2444 2005-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558670265 Ken Kobayashi Internal Medicine 1412 Se 7th Pl, Lees Summit, MO 64063-8509 2010-09-29
1659546240 Amandeep Kalra Internal Medicine 2330 E Meyer Blvd Ste 401, Kansas City, MO 64132-1132 2008-04-24
1255544680 Mark Andrew Schroeder Internal Medicine 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 2007-05-08
1669573077 Virginia M Herrmann Internal Medicine 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 2006-09-26
1962410829 Timothy Patrick Rearden Internal Medicine 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 2006-08-04
1023034261 Ramaswamy Govindan Internal Medicine 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 2006-07-14
1124081799 Anna Roshal Internal Medicine 150 Entrance Way, Saint Peters, MO 63376-1645 2006-04-06
1639140288 Shalina D. Gupta-burt Internal Medicine 2750 Clay Edwards Dr Lowr Level010, North Kansas City, MO 64116-3237 2006-01-31
1043292246 Peter Westervelt Internal Medicine 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 2005-11-15
1295727493 Juan Daniel Cuevas Internal Medicine 3440 De Paul Ln Ste 201, Bridgeton, MO 63044-3546 2005-08-16
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Competitor

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City JEFFERSON CITY
Zip Code 65101

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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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