DR. ARAN KONGMUANG (NPI# 1548237803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548237803 |
| Entity Type | Individual |
| Full Name | DR. ARAN KONGMUANG |
| Credential | M.D. |
| Practice Address |
6505 Market St Boardman OH 44512-3457 |
| Mailing Address |
559 Greenmont Dr Canfield OH 44406-9660 |
| Practice Telephone | 3308842425 |
| Mailing Telephone | 3305332916 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
35-10-0295 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0329906 | 05 | |
| OH | OHIO LICENSE NUMBER | 35-10-0295 | 01 |
| Street Address |
6505 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
| 1629618269 | Jenna Hospodar | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2020-01-12 |
| 1649835166 | Anna Marie Stansbury | Registered Nurse | 6505 Market St, Boardman, OH 44512-3457 | 2019-05-09 |
| 1538668686 | Beeghly Nursing LLC | Skilled Nursing Facility | 6505 Market St, Boardman, OH 44512-3457 | 2018-02-05 |
| 1366968935 | Brooke Leigh Crawford | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-08-16 |
| 1689197717 | Mary Agnes Slavens | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2017-07-20 |
| 1518401025 | Elizabeth A Schmid | Social Worker | 6505 Market St, Boardman, OH 44512 | 2016-12-19 |
| 1336698513 | Kristen Ouellette | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-09-28 |
| 1427400753 | Carrie Lynn Zorman | Nurse Practitioner | 6505 Market St, Boardman, OH 44512-3457 | 2016-07-11 |
| 1619340213 | Susan Diana Laird | Counselor | 6505 Market St, Boardman, OH 44512 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676897 | Donald Ray Woodyard Jr. | Emergency Medicine | 6283 Eberstark Dr, Columbus, OH 43235-5087 | 2019-06-05 |
| 1538675129 | Village of Sardinia | Emergency Medicine | 169 Winchester St, Sardinia, OH 45171-9326 | 2017-12-19 |
| 1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
| 1568778140 | David Carl Ernst | Emergency Medicine | 12817 W Lake Rd, Vermilion, OH 44089-3051 | 2010-08-20 |
| 1205070869 | Candace L Leigh | Emergency Medicine | 3050 Taylor Ave, Cincinnati, OH 45220-2508 | 2009-04-27 |
| 1861551269 | Paul Michael Matus | Emergency Medicine | 90 Fairway Dr, Oberlin, OH 44074-1420 | 2006-12-08 |
| 1669569547 | Daniel R. Colopy | Emergency Medicine | 14 Health Dr, Chillicothe, OH 45601-8604 | 2006-10-10 |
| 1073623500 | Bes of Ohio, LLC, Dba Medgroup | Emergency Medicine | 6420 York Rd, Parma Heights, OH 44130-3032 | 2006-08-30 |
| 1487689337 | Frederick Richard Haussman | Emergency Medicine | 915 W. Michigan St., Sidney, OH 45365 | 2006-07-11 |
| 1740214113 | Majid A Qureshi | Emergency Medicine | 7345 Kings Gate Way, West Chester, OH 45069 | 2006-07-10 |
| 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.