DR. BORIS KHARITON (NPI# 1205896495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205896495 |
Entity Type | Individual |
Full Name | DR. BORIS KHARITON |
Credential | M.D. |
Practice Address |
6125 Clayton Ave Suite 101 Saint Louis MO 63139-3265 |
Mailing Address |
6125 Clayton Ave Suite 101 St Louis MO 63139 |
Practice Telephone | 3146675535 |
Mailing Telephone | 3146675535 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
110866 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MEDICARE OF ILLINOIS | 203718 | 01 |
Street Address |
6125 CLAYTON AVE SUITE 101 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63139-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083699359 | Robert P Tomkiewicz | Internal Medicine | 6125 Clayton Ave, #119, Saint Louis, MO 63139-3265 | 2005-12-09 |
1497944094 | Parkside Surgery and Medicine | Surgery | 6125 Clayton Ave, Suite 430, Saint Louis, MO 63139-3265 | 2007-10-18 |
1326266651 | Baraka Obstetrics and Gynecology | Specialist | 6125 Clayton Ave, Ste. 103, Saint Louis, MO 63139-3265 | 2007-04-23 |
1316057565 | Westend Medical Center PC | Specialist | 6125 Clayton Ave, Ste 118, Saint Louis, MO 63139-3265 | 2006-08-30 |
1740211606 | H Russell Searight | Psychologist | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-07-06 |
1225079791 | M Robert Hill Md | Internal Medicine | 6125 Clayton Ave, Ste 101, Saint Louis, MO 63139-3265 | 2006-06-08 |
1346293297 | Ann Lesley Mclaren | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-19 |
1023061926 | Michael T Railey | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-19 |
1538118492 | Forest Park Hospital Corp #1 | Family Medicine | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-09 |
1942259809 | Jennifer Sw Gafford | Psychologist | 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139-3265 | 2006-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
Find all providers in zip 63139 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316908155 | Nabil Ahmad | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 | 2006-03-31 |
1427035955 | Gurpreet Padda | Physical Medicine & Rehabilitation | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2005-12-27 |
1891200895 | Institute of Pain Management LLC | Physical Medicine & Rehabilitation | 10199 Woodfield Ln, Saint Louis, MO 63132-2922 | 2017-12-12 |
1467874982 | N & W Associates Inc | Physical Medicine & Rehabilitation | 777 S New Ballas Rd, Suite 302w, Saint Louis, MO 63141-8705 | 2014-01-17 |
1184853152 | Tong Zhu | Physical Medicine & Rehabilitation | 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 | 2009-07-10 |
1548430952 | Tesson Heights Orthopaedic & Arthroscopic Associates PC | Physical Medicine & Rehabilitation | 12152 Tesson Ferry Rd, Ste 2, Saint Louis, MO 63128-1726 | 2008-03-03 |
1891756557 | Jennifer Lynn Page | Physical Medicine & Rehabilitation | 10010 Kennerly Rd, 4th Floor - Acute Rehab, Saint Louis, MO 63128-2106 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043879471 | P.r.i.m.e. Health Centers - Chesterfield, LLC | Physical Medicine & Rehabilitation | 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 | 2019-06-10 |
1396300505 | Russell Thurman | Physical Medicine & Rehabilitation | 305 Thornbrooke Dr, Rogersville, MO 65742-8737 | 2019-05-02 |
1841753209 | Ap Medical | Physical Medicine & Rehabilitation | 1131 W Main St Ste A, Blue Springs, MO 64015-3698 | 2019-04-11 |
1043774821 | Riley Stowe | Physical Medicine & Rehabilitation | 1301 Tullison Rd, Kansas City, MO 64116-2640 | 2019-01-26 |
1043762974 | St Louis Spine and Joint Pain Specialists LLC | Physical Medicine & Rehabilitation | 520 Center Street, Fenton, MO 63026-4246 | 2016-10-26 |
1477843985 | Diana Mekler | Physical Medicine & Rehabilitation | 1365 Nykiel Ct, Ballwin, MO 63011-4246 | 2011-04-18 |
1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
1619081890 | Nehal P Modh | Physical Medicine & Rehabilitation | 1145b E Gannon Dr, Festus, MO 63028-2611 | 2006-08-18 |
1780157172 | Spine Pain and Rehab Associates LLC | Physical Medicine & Rehabilitation | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2019-01-08 |
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City | SAINT LOUIS |
Zip Code | 63139 |
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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.