Robert Steven Yoselevsky, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R6187 Issued in MO

Practice address

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141-8232

Phone

(314) 432-5478

Fax

(314) 569-0864

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1093703290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-1254",
            "fax_number": "314-569-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 5006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-5478",
            "fax_number": "314-569-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSELEVSKY",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200921807",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101480",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Alan Yorg, LPC
• Abigail Schweig York, DO
• Erika L York, LCSW
• Jennifer Lynn York, MD
• Ronald York Sr.
• Amaly Yossef, LCSW
• Gregory Scott Yost, CRNA
• Rodney Mark Yost
• Caroline Grace Youdes
• Young & Restless Home Health Care

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.