PITAYADET JUMRUSSIRIKUL (NPI# 1689656605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656605 |
| Entity Type | Individual |
| Full Name | PITAYADET JUMRUSSIRIKUL |
| Credential | M.D. |
| Practice Address |
5880 University Ave Ste 112 West Des Moines IA 50266-8209 |
| Mailing Address |
Po Box 9170 Des Moines IA 50306-9170 |
| Practice Telephone | 5156333653 |
| Practice Fax Number | 5152804630 |
| Mailing Telephone | 5156333600 |
| Mailing Fax Number | 5156333838 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
36245 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
36245 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RR GROUP NUMBER | CD4547 | 01 |
| IA | RR MEDICARE NUMBER | P00261211 | 01 |
| IA | RAILROAD MEDICARE | P00261211 | 01 |
| IA | 0463471 | 05 |
| Street Address |
5880 UNIVERSITY AVE STE 112 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760753 | Suzanne Feigofsky | Specialist | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-06-15 |
| 1770832636 | Debra L Ryan | Nurse Practitioner | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2012-09-06 |
| 1659657906 | Amanda S White | Nurse Practitioner | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2011-11-01 |
| 1750518478 | Jason Meyers | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2009-06-20 |
| 1730387473 | Troy Lee Hounshell | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2007-07-03 |
| 1861601841 | Dwayne N. Campbell | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8255 | 2007-05-22 |
| 1982686705 | Denise M Sorrentino | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-11-17 |
| 1639151327 | Ryan W Young | Physician Assistant | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-11-17 |
| 1275515900 | William Ben Johnson | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-11-17 |
| 1740262898 | Robert H Hoyt | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2005-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1164410932 | Iowa Heart Center PC | Internal Medicine | 5880 University Ave, West Des Moines, IA 50266-8220 | 2005-10-06 |
| 1750518478 | Jason Meyers | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2009-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023427820 | Kanishk Agnihotri | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2014-08-05 |
| 1184737876 | St. Luke's Methodist Hospital | Internal Medicine | 1026 A Ave Ne, Suite 5000, Cedar Rapids, IA 52402-5036 | 2006-08-16 |
| 1336128354 | Michael C Giudici | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-01-10 |
| 1881673721 | Kent J Van Why | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1750360616 | Blair W Foreman | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on PITAYADET JUMRUSSIRIKUL.
| 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.