Vladislav Velizarov Tchatalbachev (NPI# 1831402569, PAC ID# 4587979448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831402569 |
| PAC ID by PECOS | 4587979448 |
| Professional Enrollment ID | I20150820012065 |
| Full Name | Vladislav Velizarov Tchatalbachev |
| Organization Legal Name | METRO IMAGING, LLC |
| Address |
125 Dunn Rd Florissant MO 63031-8007 |
| Phone Number | 3149219555 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6608864160 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 125 Dunn Rd, Florissant, MO 63031-8007 | 3149219555 | METRO IMAGING, LLC |
| 11615 Olive Blvd, Saint Louis, MO 63141-7095 | 3149939555 | METRO IMAGING, LLC |
| Organization Legal Name | METRO IMAGING, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sirisha Jasti | Diagnostic Radiology | Metro Imaging, LLC | 11615 Olive Blvd, Saint Louis, MO 63141-7095 |
| Mark J Hoffman | Diagnostic Radiology | Metro Imaging, LLC | 125 Dunn Rd, Florissant, MO 63031-8007 |
| Albert M Hammerman | Diagnostic Radiology | Metro Imaging, LLC | 6520 Clayton Rd, Saint Louis, MO 63117-1706 |
| Kimberly H Foust | Diagnostic Radiology | Metro Imaging, LLC | 11615 Olive Blvd, Saint Louis, MO 63141-7095 |
| Philip C Trotta | Diagnostic Radiology | Metro Imaging, LLC | 13303 Tesson Ferry Rd, Suite 30, Saint Louis, MO 63128-4062 |
| Bradley W Stockmann | Diagnostic Radiology | Metro Imaging, LLC | 6520 Clayton Rd, Saint Louis, MO 63117-1706 |
| Richard A Koch | Diagnostic Radiology | Metro Imaging, LLC | 125 Dunn Rd, Florissant, MO 63031-8007 |
| Harley J Hammerman | Diagnostic Radiology | Metro Imaging, LLC | 11615 Olive Blvd, Saint Louis, MO 63141-7095 |
| Street Address |
125 DUNN RD |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-8007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Hoffman | Diagnostic Radiology | Metro Imaging, LLC | 125 Dunn Rd, Florissant, MO 63031-8007 |
| Richard A Koch | Diagnostic Radiology | Metro Imaging, LLC | 125 Dunn Rd, Florissant, MO 63031-8007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FLORISSANT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Vladislav Velizarov Tchatalbachev.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.