NPIMap

Organization Active NPI

Ron Javdan MD LLC

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1578824256
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R8435 Issued in MO
Legal business name
RON JAVDAN MD LLC
Practice address
224 S Woods Mill Rd
Suite 580
Chesterfield, MO 63017-3451
Phone
(314) 434-1399
Fax
(314) 434-0271
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Ron Javdan, MDNPI 1093878258
Title
President/Physician
Phone
(314) 434-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X R8435 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd
Suite 580
Chesterfield, MO 63017-3451

Mailing address

224 S Woods Mill Rd
Suite 580
Chesterfield, MO 63017-3451
Phone (314) 434-1399

National Provider Directory

National Provider Directory

Locations

920 N Long Beach Blvd
Compton, CA 90221
Phone (310) 885-1442

1126 E South St
Long Beach, CA 90805
Phone (562) 984-9200

805 W La Veta Ave
Ste 110
Orange, CA 92868
Phone (714) 289-8800

1100 Town and Country Commons Dr
Unit 7090
Chesterfield, MO 63006

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1578824256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 580",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-434-1399",
            "fax_number": "314-434-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "SUITE 580",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-434-1399",
            "fax_number": "314-434-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON JAVDAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "JAVDAN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "314-434-1399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.