Individual
TIMOTHY G RAVEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 407-2038
(816) 792-7135
Mailing address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2000165897
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2000165897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100403320B
—
KS
05
—
205343015
—
MO
01
—
29296026
BCBS
—
05
—
30004158020003
—
KS
01
—
300135898
RAILROAD MEDICARE
MO
Enumeration date
07/20/2006
Last updated
01/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us