LALIDA CHUPATANAKUL (NPI# 1235572991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235572991 |
| Entity Type | Individual |
| Full Name | LALIDA CHUPATANAKUL |
| Credential | MD |
| Practice Address |
3285 S Val Vista Dr Gilbert AZ 85297 |
| Mailing Address |
3285 S Val Vista Dr Gilbert AZ 85297-7000 |
| Practice Telephone | 4803972800 |
| Mailing Telephone | 4803972800 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67552-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036139532 | IL | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
67552-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036139532 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2851 University Ave, Green Bay, WI 543115855 | 9204312500 | 9204312744 |
| 5000 S 5th Ave Bldg 217, Geriatric Fellowship Program, Hines, IL 601413030 | 7082025057 |
| Street Address |
3285 S VAL VISTA DR |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197902 | Phoenix Vamc | Clinic/Center | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2006-06-04 |
| 1790325520 | Caroline Mcmullen Toole | Social Worker | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2020-01-09 |
| 1558855635 | Stephanie Palazzolo | Audiologist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2018-06-21 |
| 1053819920 | Megan Briggs | Dietitian, Registered | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2018-01-25 |
| 1316462161 | Christina Heaton Krieg | Psychologist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2017-08-13 |
| 1427573104 | Vivian Du | Pharmacist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2017-08-03 |
| 1215480041 | Nicole Elizabeth Wolf | Audiologist | 3285 S Val Vista Dr, Audiology, Gilbert, AZ 85297-7000 | 2016-07-28 |
| 1053773077 | Debbie Dennis | Psychiatry & Neurology | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2016-03-28 |
| 1184091597 | Marie Ann Ngan | Pharmacist | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2015-09-01 |
| 1295121101 | Korrie Pernicka | Social Worker | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458205 | Ruth Cover | Family Medicine | 979 N Gilbert Rd Ste 102, Gilbert, AZ 85234-3307 | 2020-05-12 |
| 1659991461 | Charles Milton Combs IIi | Family Medicine | 3035 E Vernon St, Gilbert, AZ 85298-8757 | 2020-04-22 |
| 1316502750 | Shelley Campbell | Family Medicine | 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 | 2019-05-01 |
| 1689136830 | Master Mark Np, Pllc | Family Medicine | 4287 E Michelle Ave, Gilbert, AZ 85234-0117 | 2019-04-04 |
| 1841771904 | Farzam Afshar | Family Medicine | 829 S Adam Way, Gilbert, AZ 85296-1488 | 2018-08-27 |
| 1992295000 | Wade Reynolds | Family Medicine | 3061 E Vallejo Dr, Gilbert, AZ 85298-9059 | 2018-05-14 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1366813602 | Kyle Tisi | Family Medicine | 1489 S. Higley Rd, Suite 101, Gilbert, AZ 85296-4777 | 2015-10-13 |
| 1679857825 | Good Health Medical, P.C. | Family Medicine | 428 S. Gilbert Rd., Suite # 101, Gilbert, AZ 85296-2261 | 2011-10-06 |
| 1073807202 | Punyakam Pllc | Family Medicine | 690 E Warner Rd Ste 133, Gilbert, AZ 85296 | 2011-06-06 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on LALIDA CHUPATANAKUL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.