DR. KENAN RIFAT OMURTAG MD NPI 1477738136

NPI Information

NPI: 1477738136
Provider Name: DR. KENAN RIFAT OMURTAG, MD
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
4444 FOREST PARK AVE
STE 3100
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 286-2400
Get Directions

DR. Kenan Rifat Omurtag, MD is a reproductive endocrinology obstetrics gynecology in Saint Louis, MO with 18 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Kenan Rifat Omurtag, MD NPI is 1477738136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

4444 FOREST PARK AVE
STE 3100
SAINT LOUIS, MO
ZIP 63108-212
Phone: (314) 286-2400
Fax: (314) 286-2455

The NPI 1477738136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		2010006162	MISSOURI	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	2010006162	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209173608	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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