Konstantine Jegorov, CSFA/CST

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

147775

Practice address

8585 Picardy Ave
Baton Rouge, LA 70809-3748

Phone

(225) 763-4000

NPI assigned

May 30, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1235022047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11688 HIDEAWAY ST",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707261101",
            "telephone_number": "225-247-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093748",
            "telephone_number": "225-763-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGOROV",
        "first_name": "KONSTANTINE",
        "credential": "CSFA/CST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "147775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylecka Shay Jefferson, LPC
• Sharon Jefferson
• Zaquoria D Jefferson
• Jeffrey S. Toler, D.D.S., Millerville Dental Group, a Professional Cor (Millerville Dental Group)
• Edward E Jeffries, MD
• Shawna Nikia Jeider, PA
• Thomas Abraham Jakob Jeider
• Ariel Jenkins
• Aspen Jenkins
• Cathryn Jenkins

• Surgical Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.