DHANASARN MONGKOLSMAI


Address: 2206 Berrywood Ln, Bloomington, IL 61704-2448
Phone: 3096622032

DHANASARN MONGKOLSMAI (NPI# 1669756060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669756060
Entity Type Individual
Full Name DHANASARN MONGKOLSMAI
Credential M.D.
Practice Address 2206 Berrywood Ln
Bloomington
IL 61704-2448
Practice Telephone 3096622032
Mailing Telephone 3096622032
Enumeration Date 2011-10-04
Last Update Date 2011-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 036059806 IL Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
036059806 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2206 BERRYWOOD LN
City BLOOMINGTON
State IL
Zip Code 61704-2448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194009415 Chalermlarp Mongkolsmai Pediatrics 2206 Berrywood Ln, Bloomington, IL 61704-2448 2011-10-05

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740367895 William V Novak Internal Medicine 1505 Eastland Dr., Bloomington, IL 61701 2006-11-01
1477523645 Scott E. Mattson Internal Medicine 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 2006-01-23
1104821974 Jennifer Petersen-goldspiel Internal Medicine 1312 W. Arch Haven Avenue, Bloomington, IN 47403 2005-06-16
1336142017 Yogesh K Agarwal Internal Medicine 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 2005-05-24
1184980880 Saki Miwa Internal Medicine 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 2012-04-06
1124221684 Kevin F Sumption Internal Medicine 1312 W Arch Haven Ave Ste A, Bloomington, IN 47403-2088 2007-06-11
1558423806 Bloomington Cardiology PC Internal Medicine 822 W 1st St, Suite 7, Bloomington, IN 47403 2006-12-14
1780796417 Andrew Dundee Ferguson Internal Medicine 1312 W. Arch Haven Avenue, Suite A, Bloomington, IN 47403 2006-08-31
1831110352 Louis J Calli Jr. Internal Medicine 550 S Landmark Ave, Bloomington, IN 47403-3239 2006-07-21
1962450734 Illinois Cardiovascular & Thoracic Surgery, Ltd Internal Medicine 1505 Eastland Dr, Suite 210, Bloomington, IL 61701-7906 2006-05-04
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

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.

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