Alexandr Chatilo, MD, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00044546 Issued in WA

Legal business name

ALEXANDR CHATILO, MD, PLLC

Practice address

18526 Fremont Ave N
Shoreline, WA 98133-3821

Phone

(206) 366-5379

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexandr Ivanovich Chatilo, M.D.

Title

Provider

Phone

(206) 366-5379

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1114296670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18526 FREMONT AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333821",
            "telephone_number": "206-366-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18526 FREMONT AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333821",
            "telephone_number": "206-366-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDR CHATILO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CHATILO",
        "authorized_official_first_name": "ALEXANDR",
        "authorized_official_middle_name": "IVANOVICH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-366-5379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00044546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neshia Alaovae, MA, MHP, LMHCA
• Alaska Teletherapy, LLC
• Alcantara Enterprises Incorporated (Kasaganaan Enterprise)
• Rodil Deang Alcantara
• Alex Jarrett DDS PLLC
• Bliss Castellano Ali, ARNP, CNM
• Ikram Ali
• Molly Goodman Allison, OT
• Julie Allocco, RD
• Ellery Martin Allonier, ARNP

• Physical Medicine & Rehabilitation Physician in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.