Ravi Yadava, DO PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

144725 Issued in MO

Legal business name

RAVI YADAVA, DO PC

Practice address

675 Old Ballas Rd
Suite 210
Saint Louis, MO 63141-7083

Phone

(314) 994-9355

Fax

(314) 994-0796

NPI assigned

May 1, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tonya Cable Morrissey

Title

Business Office Manager

Phone

(314) 994-0796

Specialties & licenses 1

Addresses

Other names 1

• Performance Rehabiliation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi Yadava, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Louis, MO
  • NPI 1144214065
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1013327998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-994-9355",
            "fax_number": "314-994-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OLD BALLAS RD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417083",
            "telephone_number": "314-994-9355",
            "fax_number": "314-994-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI YADAVA, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "CABLE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "314-994-0796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "144725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Performance Rehabiliation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Milagros R Rauseo Acevedo, MD
• Krunal Dashrathlal Raval, MD
• Cecilia Yvonne Ravas, NP
• Ravi Mehra MD, P.C.
• Ravi Yadava, D.O. PC
• Barugur S. Ravi, M.D.
• Priyanka Ravi, MD,FRCPC
• V Nathan Ravi, MD
• Amy Jo Ravin, M.D.
• Shubha Gadde Ravindra, MD

• Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.