SOMPOP SRISUWANANUKORN (NPI# 1467439828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467439828 |
| Entity Type | Individual |
| Full Name | SOMPOP SRISUWANANUKORN |
| Credential | M.D. |
| Practice Address |
2075 Indianapolis Blvd Whiting IN 46394-1948 |
| Mailing Address |
9201 Calumet Ave Munster IN 46321-2807 |
| Practice Telephone | 2196597000 |
| Practice Fax Number | 2196599018 |
| Mailing Telephone | 2198362022 |
| Mailing Fax Number | 2198361072 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01030518 | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01030518 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100188330 | 05 |
| Street Address |
2075 INDIANAPOLIS BLVD |
| City | WHITING |
| State | IN |
| Zip Code | 46394-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319714 | Sanjeet Raj Singh Parmar Dds Ltd | Dentist | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2016-11-21 |
| 1992254619 | Victoria Urdov | Nurse Practitioner | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2016-09-22 |
| 1952716078 | Morgan W Zellers | Podiatrist | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2014-06-26 |
| 1962740886 | Ushaben Patel | Nurse Practitioner | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2013-01-28 |
| 1265706436 | Rite Care Pharmacy Inc | Pharmacy | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2012-03-05 |
| 1699077990 | Foot and Ankle Pain Clinic Corporation | Podiatrist | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2010-11-19 |
| 1750697645 | Ibp Pharmacy Inc | Pharmacy | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2010-08-30 |
| 1902057698 | Amkas Laboratories, Inc. | Pharmacy | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2008-10-01 |
| 1952566283 | Doctors On Call LLC | Physical Therapist | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2008-07-25 |
| 1992982425 | Foot and Ankle Pain Clinic Corporation | Durable Medical Equipment & Medical Supplies | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417109612 | Connie J Eliou | Counselor | 2027 Davis Avenue, Whitning, IN 46394 | 2008-10-21 |
| 1114101334 | Levin Eye Care Center, P.C. | Optometrist | 1334 119th St., Whiting, IN 46394 | 2007-12-24 |
| 1063784296 | Olga Grbich | Pharmacist | 1939 Indianapolis Blvd, Pharmacy Dept., Whiting, IN 46394 | 2012-02-03 |
| 1942256128 | Hendricks County Hospital | Skilled Nursing Facility | 1000 114th St, Whiting, IN 46394-1048 | 2006-05-26 |
| 1578760971 | Sylvia Mary Mckinley | Physical Therapy Assistant | 1000 114th St, Whiting, IN 46394-1048 | 2007-06-28 |
| 1538370580 | Jeannine Marie Dabertin | Occupational Therapist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-24 |
| 1174731582 | Jane Lucille B. Edquila | Occupational Therapist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-18 |
| 1831307263 | Jessie Goode White | Speech-Language Pathologist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-18 |
| 1518425339 | Miriam N Rivera | Physical Therapy Assistant | 1546 Roberts Ave, Whiting, IN 46394-1122 | 2019-03-11 |
| 1730695024 | Isd Renal Inc | Clinic/Center | 816 119th St, Whiting, IN 46394-1401 | 2017-12-21 |
| Find all providers in zip 46394 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
| 1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
| 1134464209 | Sneeze & Snooze Clinic, P C. | Internal Medicine | 2417 S. Berkshire Dr., Gashen, IN 46526-6815 | 2012-11-30 |
| 1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
| 1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
| 1497923486 | Medical Clinics of America | Internal Medicine | 1402 173rd St, Hammond, IN 46324-2861 | 2008-02-13 |
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
| 1972675189 | Chest & Sleep Consultants | Internal Medicine | 952 S State Road 2, Valparaiso, IN 46385-6322 | 2006-11-14 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
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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.