SUNAN VONGKASEMSIRI (NPI# 1275578387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275578387 |
| Entity Type | Individual |
| Full Name | SUNAN VONGKASEMSIRI |
| Credential | M.D. |
| Practice Address |
1850 Old Knoxville Rd Tazewell TN 37879-3625 |
| Mailing Address |
Po Box 596 Tazewell TN 37879-0596 |
| Practice Telephone | 4266264211 |
| Practice Fax Number | 6062481518 |
| Mailing Telephone | 6062481320 |
| Mailing Fax Number | 6062481518 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD0000014904 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3036248 | 05 |
| Street Address |
1850 OLD KNOXVILLE RD |
| City | TAZEWELL |
| State | TN |
| Zip Code | 37879-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205166 | Claiborne Medical Center | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2005-06-15 |
| 1528459682 | Bruce Edward Saylor | Nurse Practitioner | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2015-02-11 |
| 1144528894 | Marcie L Bledsoe | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2011-03-04 |
| 1700010816 | Matthew A Brayton | Nurse Practitioner | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2009-05-05 |
| 1023251923 | Claiborne County Hospital Claiborne County Ambulance | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2009-04-08 |
| 1386865673 | Claiborne Medical Center | Nursing Facility/Intermediate Care Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-05-02 |
| 1003936881 | Kathy Payne Kelley | Pharmacist | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-03-29 |
| 1477698587 | Claiborne County Hospital Pharmacy | General Acute Care Hospital | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2007-02-20 |
| 1568519049 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1850 Old Knoxville Rd, Claiborne County Hospital, Tazewell, TN 37879-3625 | 2007-01-05 |
| 1154435030 | Claiborne Medical Center | Skilled Nursing Facility | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689174211 | Heather Hunley | Nurse Practitioner | 951 N. Broad St, Tazewell Express Care, Tazewell, TN 37879 | 2018-02-20 |
| 1225540495 | Amy Howe | Nurse Practitioner | 1582 N Broad St Ste 2, Tazewell, TN 37879 | 2017-10-28 |
| 1497063903 | Minton Family Dental Care | Dentist | 210 Cedar Fork Rd., Tazewell, TN 37879 | 2010-09-17 |
| 1528259470 | Foster Chiropractic, P.C. | Chiropractor | 2255 Hwy 25e, Suite 2, Tazwell, TN 37879 | 2007-08-06 |
| 1811075088 | Rondal Keith Brock | Physician Assistant | Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-11-02 |
| 1922185644 | Tri State Sports Medicine and Rehabilitation Inc | Physical Therapist | 2255 Highway 25e Ste 4, Tazewell, TN 37879 | 2006-11-01 |
| 1407932387 | La Wanna Wallen Brock | Nurse Practitioner | 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-10-31 |
| 1952493462 | Home Town Pharmacy Inc. | Pharmacy | 1410 N. Broadstreet, Tazewell, TN 37879 | 2006-09-29 |
| 1700892429 | Trail of The Cumberlands Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Hwy, Claiborne County Hospital, Tazewell, TN 37879 | 2006-08-01 |
| 1598718587 | Rosemary Kay Hall | Chiropractor | 1450 Broad St, Suite 1, Tazewell, TN 37879 | 2006-05-18 |
| Find all providers in zip 37879 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295968600 | Qasim Ali Rao | Radiology | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2009-09-01 |
| 1235361155 | Vijay Ramakrishnan | Radiology | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2009-08-11 |
| 1033155965 | Tri-state Radiology | Radiology | 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | 2006-06-20 |
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|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1407373053 | Association of University Radiologists, PC | Radiology | 5779 Creekwood Park Blvd Ste 130, Lenoir City, TN 37772-1203 | 2017-08-24 |
| 1023481090 | Richard Sanders | Radiology | 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 | 2015-11-12 |
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| Find all providers with the same taxonomy | ||||
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| 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.