DR. KSENIJA KOS (NPI# 1265454987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265454987 |
| Entity Type | Individual |
| Full Name | DR. KSENIJA KOS |
| Credential | MD |
| Practice Address |
621 S New Ballas Rd Suite 5003 B St Louis MO 63141 |
| Practice Telephone | 3142272020 |
| Practice Fax Number | 3142272021 |
| Mailing Telephone | 3142272020 |
| Mailing Fax Number | 3142272021 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2009-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2001010352 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205684715 | 05 |
| Street Address |
621 S NEW BALLAS RD SUITE 5003 B |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356424485 | Sarah B Shores | Obstetrics & Gynecology | 621 S New Ballas Rd, Ste 101a, St Louis, MO 63141 | 2006-10-23 |
| 1346330081 | Bruce Jeffrey Lippmann | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-10-13 |
| 1669571238 | Mark Douglas Ravenscraft | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-09-21 |
| 1730288317 | Robyn Hayley Jacobs | Internal Medicine | 621 S New Ballas Rd, Suite 3015b, St Louis, MO 63141-8244 | 2006-09-21 |
| 1053414227 | Joseph M Duvall Md LLC | Dermatology | 621 S New Ballas Rd, 5002b, St Louis, MO 63141 | 2006-09-06 |
| 1821022682 | Jill E Elwing | Internal Medicine | 621 S New Ballas Rd, 1001b, St Louis, MO 63141 | 2006-07-10 |
| 1750311395 | William R Logan | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-07-03 |
| 1770511271 | Kyeong Philip Lee | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-06-30 |
| 1497783997 | Barbara J Green | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-06-30 |
| 1114984242 | Midwest Gastroenterology & Hepatology PC | Internal Medicine | 621 S New Ballas Rd, #1001b, St Louis, MO 63141 | 2006-05-01 |
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| 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 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770591646 | Laurence J Kinsella | Psychiatry & Neurology | 3660 Vista, St Louis, MO 63110 | 2006-08-04 |
| 1124045703 | John B Selhorst | Psychiatry & Neurology | 3660 Vista, St Louis, MO 63110 | 2006-07-17 |
| 1710902515 | Ghazala Hayat | Psychiatry & Neurology | 3660 Vista, St Louis, MO 63110 | 2006-07-13 |
| 1750311395 | William R Logan | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-07-03 |
| 1770511271 | Kyeong Philip Lee | Psychiatry & Neurology | 621 S New Ballas Rd, Suite 5003 B, St Louis, MO 63141 | 2006-06-30 |
| 1497783997 | Barbara J Green | Psychiatry & Neurology | 621 S New Ballas Rd, Ste 5003-b, St Louis, MO 63141 | 2006-06-30 |
| 1184679128 | William Joseph Burke | Psychiatry & Neurology | 1 Jefferson Barracks Drive, 11g Jb Building 1 Room 2e23, St Louis, MO 63125-4199 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
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| 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.