ALEXANDER KHORUTS (NPI# 1841389780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841389780 |
| Entity Type | Individual |
| Full Name | ALEXANDER KHORUTS |
| Credential | MD |
| Practice Address |
2635 University Ave W Ste 100 Saint Paul MN 55114-1231 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35139 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | HP13689 | 01 |
| ARAZ | 768196 | 01 | |
| MN | U CARE | 114409 | 01 |
| IA | 0982835 | 05 | |
| MN | MEDICA-CHOICE | 2911498 | 01 |
| MN | 059063000 | 05 | |
| MN | MEDICA-PRIMARY | 29-00011 | 01 |
| MN | PREFERRED ONE | 1019331 | 01 |
| MN | BCBS | 12G03KH | 01 |
| Street Address |
2635 UNIVERSITY AVE W STE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1154316750 | Dahlia Awais | Internal Medicine | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2180 | 2005-09-20 |
| 1750709986 | Alyssa Marie Anderson | Internal Medicine | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2014-04-04 |
| 1730422122 | Nabiha Sultana Shamsi | Internal Medicine | 435 Phalen Blvd, Ms 51103b, Saint Paul, MN 55130-5302 | 2013-04-03 |
| 1104119551 | Kevin Rank | Internal Medicine | 237 Radio Dr Ste 210, Saint Paul, MN 55125-4478 | 2011-05-18 |
| 1538300157 | Peter Louis Pico | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2009-03-11 |
| 1205970258 | Stephen James Rudolph | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2007-02-15 |
| 1457405946 | Scott Perry Keeley | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2007-01-22 |
| 1346324506 | David Garett Perdue | Internal Medicine | 2550 University Ave W, Suite 423 South, Saint Paul, MN 55114-1052 | 2006-10-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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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.