Melvin E Omodon (NPI# 1902192438, PAC ID# 6507175148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1902192438 |
| PAC ID by PECOS | 6507175148 |
| Professional Enrollment ID | I20180730000826 |
| Full Name | Melvin E Omodon |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Address |
11133 Dunn Rd Saint Louis MO 63136-6119 |
| Phone Number | 3146534000 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587624226 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100157 | LAKELAND REGIONAL MEDICAL CENTER |
| 100256 | REGIONAL MEDICAL CENTER BAYONET POINT |
| 100243 | BRANDON REGIONAL HOSPITAL |
| 100248 | LARGO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2020 59th St W, Bradenton, FL 34209-4604 | 8004372672 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 2020 59th St W, Bradenton, FL 34209-4604 | RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA LLC | |
| 119 Oakfield Dr, Brandon, FL 33511-5779 | 8136815551 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 1101 W Liberty St, Farmington, MO 63640-1921 | 5737608075 | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| 14000 Fivay Rd, Hudson, FL 34667-7103 | 7278695485 | RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA LLC |
| 502 W Highland Blvd, Inverness, FL 34452-4720 | 3527261551 | RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA LLC |
| 201 14th St Sw, Largo, FL 33770-3133 | 7275885200 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| 1721 Lakelet Loop, Oviedo, FL 32765-8010 | 8887427927 | RADIOLOGY PHYSICIAN SOLUTIONS OF WEST FLORIDA LLC |
| 11133 Dunn Rd, Saint Louis, MO 63136-6119 | 3146534000 | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| 2901 B Swann Ave, Tampa, FL 33609-4056 | 8004372672 | TAMPA BAY RADIOLOGY ASSOCIATES PA |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Rae Drylewicz | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Hilton I Price | Diagnostic Radiology | Midwest Radiological Associates PC | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Carrie C Morrison | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| John H Niemeyer | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Gerald J Palagallo | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Christopher O Thornton | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Mitra B Boodram | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Feraas Jabi | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Toni C Roth | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Kevin L Shady | Diagnostic Radiology | Midwest Radiological Associates PC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
11133 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dia Milazzo | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Yunhong Zhang | Anesthesiology | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Sylvia G Hoormann | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Michelle L Heffron | Certified Clinical Nurse Specialist (cns) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6119 |
| Melissa J Lueking | Hospitalist | Physician Groups Lc | 11133 Dunn Rd, Suite 2427, Saint Louis, MO 63136-6163 |
| Meghan E Greaves | Anesthesiology Assistant | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Hermance Fortune | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Suresh Basnet | Critical Care (intensivists) | Washington University | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Christine E Nance | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Jared L Ross | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SAINT LOUIS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Melvin E Omodon.
| 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.