MRS. PIMPA SUTTIRATANA


Address: Hc68 Box 1000 Suite 3, Community Health Foundation of Logan, Logan, WV 25601-9620
Phone: 3042393888

MRS. PIMPA SUTTIRATANA (NPI# 1881650026) 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) 1881650026
Entity Type Individual
Full Name MRS. PIMPA SUTTIRATANA
Credential MD
Practice Address Hc68 Box 1000 Suite 3
Community Health Foundation of Logan
Logan
WV 25601-9620
Practice Telephone 3042393888
Practice Fax Number 3042393811
Mailing Telephone 3042393888
Mailing Fax Number 3042393811
Enumeration Date 2006-04-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 12253 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0094391000 05

Office Location

Street Address HC68 BOX 1000 SUITE 3
COMMUNITY HEALTH FOUNDATION OF LOGAN
City LOGAN
State WV
Zip Code 25601-9620

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NPI Name Taxonomy Address Enumeration
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1184224909 Pamela Gail Hamlin Technician 123 Cassick Street, Logan, WV 25601 2020-10-30
1134607344 Allyson Christa Mckinney Occupational Therapy Assistant 55 Lmmh Center Road, Logan, WV 25601 2018-07-31
1841783727 Erica Lupson Nurse Practitioner 3 Mile Curve, Logan, WV 25601 2018-06-14
1861930836 Joseph Michael Mounts Counselor 312 Hudgins St, Logan, WV 25601 2017-02-09
1932647385 Melissa Campbell Occupational Therapy Assistant Wv-10, Logan, WV 25601 2017-02-06
1356891659 Brooke Bell Pharmacist Route 44 Holden Rd, Logan, WV 25601 2016-10-11
1760886469 April Workman Massage Therapist 19 A Main Avenue, Logan, WV 25601 2014-10-09
1366889081 Ashley Leann Dingess Physical Therapy Assistant 55 Logan Mingo Mental Health, Logan, WV 25601 2013-06-04
1528361466 Health Care Management, LLC Pharmacy 369 George Kostas Drive, Logan, WV 25601 2010-12-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013242916 Francis Neal Mortenson Obstetrics & Gynecology 1141 Fox Farm Rd, Logan, UT 84321-4807 2009-10-09
1104005297 Emmanuel O. Soyoola Md PC Obstetrics & Gynecology 70 Hospital Dr, Kruger Medical Plaza, Suite 200, Logan, WV 25601-3452 2007-10-25
1922217850 Cache Valley Womens Center, Pllc Obstetrics & Gynecology 1325 North 600 E, #102, Logan, UT 84341 2007-05-21
1982748737 Ihc Health Services Inc Obstetrics & Gynecology 550 E 1400 N Ste X, Logan, UT 84341-2782 2007-02-16
1861476921 Tandy Garth Olsen Obstetrics & Gynecology 500 E 1400 North, Logan, UT 84341 2005-12-02
1558351742 Barry A Noorda Obstetrics & Gynecology 1325 N 600 E, 102, Logan, UT 84341-2684 2005-10-27
1285624478 David A Kirkman Obstetrics & Gynecology 1325 No 600e, #102, Logan, UT 84341 2005-10-27
1407144702 Chase B Petersen Obstetrics & Gynecology 1400 N 500 E, Logan, UT 84341 2011-07-20
1932355468 Erica Lynn Smith Obstetrics & Gynecology 1400 N 500 E, Logan, UT 84341-2455 2008-08-15
1639207939 Ihc Health Services Inc Obstetrics & Gynecology 1400 N 500 E, Logan, UT 84341-2455 2007-03-01
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City LOGAN
Zip Code 25601

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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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