Olga Rudomiotov (NPI# 1497965990, PAC ID# 8628141058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497965990 |
| PAC ID by PECOS | 8628141058 |
| Professional Enrollment ID | I20080718000192 |
| Full Name | Olga Rudomiotov |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
11133 Dunn Rd Saint Louis MO 63136-6163 |
| Phone Number | 3146534450 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 3146534450 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
11133 DUNN RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6163 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Olga Rudomiotov.
| 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.