Richard L Kofkoff, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

R6G32 Issued in MO

Practice address

16216 Baxter Rd
Suite 250
Chesterfield, MO 63017-4770

Phone

(636) 532-1717

Fax

(636) 532-5782

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942339429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 250",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "636-532-1717",
            "fax_number": "636-532-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 250",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "636-532-1717",
            "fax_number": "636-532-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFKOFF",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R6G32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Koch, D.C.
• Maggie Marie Koenig, FNP
• Meghan Koennecke, DMD
• Rebecca Koerner
• Amber Leigh Koester, O.D.
• Natalie Mae Kohlmeier, AGACNP
• Katherine L Komendowski, MD
• April Dawn Koontz, PHD
• Michael Andrew Kopec, M.D.
• Mark Charles Kory, M.D.

• Plastic Surgery Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.