MRS. SUPRANEE PHONSOMBAT (NPI# 1477647238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477647238 |
| Entity Type | Individual |
| Full Name | MRS. SUPRANEE PHONSOMBAT |
| Credential | MD |
| Practice Address |
2031 Crockett Rd Palestine TX 75801 |
| Practice Telephone | 9037293896 |
| Practice Fax Number | 9037292583 |
| Mailing Telephone | 9037293896 |
| Mailing Fax Number | 9037292583 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | F2852 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2031 CROCKETT RD |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457667701 | Drugchek, LLC | Durable Medical Equipment & Medical Supplies | 2031 Crockett Rd, Palestine, TX 75801-5921 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003935172 | East Texas Medical Alliance LLP | Obstetrics & Gynecology | 111 Medical Drive, Palestine, TX 75801-4781 | 2007-03-28 |
| 1588756795 | Charles V. Bennett Jr. | Obstetrics & Gynecology | 126 Medical Dr., Suite A, Palestine, TX 75801 | 2006-09-28 |
| 1710099221 | Robert Joseph Pate | Obstetrics & Gynecology | 118 E Brazos St, Palestine, TX 75801 | 2006-08-31 |
| 1760846083 | Hilary Simone Franceschini Currie | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2016-04-12 |
| 1295007649 | Obstetrics & Gynecology Associates of East Texas | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2012-02-01 |
| 1962720847 | Total Womens Care of East Texas, Pa | Obstetrics & Gynecology | 126 Medical Dr, Suite B, Palestine, TX 75801-8506 | 2010-05-17 |
| 1932383981 | Glena June Davis | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2007-12-27 |
| 1104819556 | George M Kingsley IIi | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2005-08-31 |
| 1700878865 | Robert G Blackwell | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2005-08-16 |
| 1114919271 | Stephen J Bates | Obstetrics & Gynecology | 115 Medical Dr, Palestine, TX 75801-4781 | 2005-08-16 |
| Find all providers in PALESTINE | ||||
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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.