Clelland Chatman (NPI# 1174933022, PAC ID# 2264762111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1174933022 |
| PAC ID by PECOS | 2264762111 |
| Professional Enrollment ID | I20190919002353 |
| Full Name | Clelland Chatman |
| Organization Legal Name | THE ERNST RADIOLOGY CLINIC INC |
| Address |
12303 De Paul Dr Bridgeton MO 63044-2512 |
| Phone Number | 3143446000 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961488366 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 3143446000 | THE ERNST RADIOLOGY CLINIC INC |
| Organization Legal Name | THE ERNST RADIOLOGY CLINIC INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Fischer | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Debbie L Bennett | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Thomas M Schroyer Jr. | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Andre S Strzembosz | General Surgery | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Megan M Gau | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Mary C Lowdermilk | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Ronald L Palmer | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Noaman W Siddiqi | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Rebecca J Mueller | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Matthew W Stadnyk | Diagnostic Radiology | The Ernst Radiology Clinic Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Street Address |
12303 DE PAUL DR |
| City | BRIDGETON |
| State | MO |
| Zip | 63044-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burt Humburg | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Gary D Clark | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Harlan D Hodges | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Cinnamon D Michalik | Nurse Practitioner | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Lisa C Boyce | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Fatima A Khan | Internal Medicine | Hospitalist Medicine Physicians of Missouri - Bridgeton, Inc. | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Jessica E Lewis | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Neal S Patel | Emergency Medicine | Bridgeton Emergency Group LLC | 12303 De Paul Dr, Bridgeton, MO 63044-2588 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adnan Y Siddiqui | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Duong T Ho | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Molly F Caldwell Mcmillan | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Shahzad Hasan | Internal Medicine | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Phillip G Zinser | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Jeanalyn S Guthrie | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Julie A Shapiro | Infectious Disease | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Manpreet Kaur Budhan | Nurse Practitioner | Northwest Infectious Disease Services LLC | 12774 Boenker Ln, Bridgeton, MO 63044-2436 |
| Hassan R Jafri | Physical Therapy | 12800 Boenker Ln, Bridgeton, MO 63044-2438 | |
| Timothy R Knuuttila | Chiropractic | 12258 St Charles Rock Rd, Bridgeton, MO 63044-2501 | |
| Find all physicians in zip 63044 | |||
| City | BRIDGETON |
| Zip Code | 63044 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BRIDGETON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Clelland Chatman.
| 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.