SAWAT PHRUTTITUM (NPI# 1912975319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912975319 |
| Entity Type | Individual |
| Full Name | SAWAT PHRUTTITUM |
| Credential | MD |
| Practice Address |
801 13th St Charles City IA 50616-3443 |
| Practice Telephone | 6412281143 |
| Practice Fax Number | 6412287621 |
| Mailing Telephone | 6412281143 |
| Mailing Fax Number | 6412287621 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22789 | IA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2187575 | 05 |
| Street Address |
801 13TH ST |
| City | CHARLES CITY |
| State | IA |
| Zip Code | 50616-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021663 | Val O Lyons Md PC | Orthopaedic Surgery | 801 13th St, Charles City, IA 50616-3443 | 2009-10-28 |
| 1508907890 | Surgical Associates PC Crna | Surgery | 801 13th St, Charles City, IA 50616-3443 | 2007-02-09 |
| 1053389296 | Leo Daniel Hart | Registered Nurse | 801 13th St, Charles City, IA 50616-3443 | 2006-03-14 |
| 1508834953 | Val Owen Lyons | Specialist | 801 13th St, Charles City, IA 50616-3443 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011443 | Wendy Ross | Technician | 1645 Shadow Ave, Charles City, IA 50616 | 2019-09-04 |
| 1306387899 | West Quality Air Systems | Durable Medical Equipment & Medical Supplies | 206 N Main St., Suite 1, Charles City, IA 50616 | 2017-03-16 |
| 1376709873 | North Iowa Mercy Clinics | Nurse Practitioner | 1413 S Grand Ave, Charles City, IA 50616 | 2008-08-04 |
| 1710056288 | Lorne Allen Johnson | Psychologist | 800 11th Street, Charles City, IA 50616 | 2006-11-07 |
| 1245242924 | Greig R Grimm | Dentist | 703 N Main St Ste C, Charles City, IA 50616 | 2006-08-12 |
| 1710947734 | Joseph Paul Molnar | Family Medicine | 1501 S Main St, Ste. 6, Charles City, IA 50616 | 2006-03-24 |
| 1235564477 | Kayla Anne Kellogg | Nurse Practitioner | 800 11th St, Charles City, IA 50616 | 2013-09-06 |
| 1346210408 | Floyd County Memorial Hospital Commission | Emergency Medicine | 800 11th St, Charles City, IA 50616 | 2006-01-23 |
| 1720284524 | Comprehensive Systems, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Clark Street, Charles City, IA 50616-0457 | 2007-06-27 |
| 1376601997 | Riverside Senior Living | Assisted Living Facility | 209 Park Dr, Charles City, IA 50616-1619 | 2006-12-05 |
| Find all providers in zip 50616 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275624975 | Floyd County Memorial Hospital Crna | Specialist | 800 11th St, Charles City, IA 50616-3468 | 2006-09-27 |
| 1508834953 | Val Owen Lyons | Specialist | 801 13th St, Charles City, IA 50616-3443 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877560 | Mandy Erpelding | Specialist | 3500 Dodge St Ste 105, Dubuque, IA 52003-5208 | 2020-03-26 |
| 1689209793 | Iowa Wellness Center PC | Specialist | 1395 Jordan St Ste C, North Liberty, IA 52317-4759 | 2020-03-09 |
| 1568011203 | Valeria V. Stickler | Specialist | 125 E Washington Street, Suite B, Clarinda, IA 51632 | 2019-09-05 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1306379961 | Ted Schierer | Specialist | 8350 Ep True Parkway, Unit 1201, West Des Moines, IA 50266-8321 | 2017-04-10 |
| 1790147122 | Linda Kaye Renze | Specialist | 2795 100th St, Urbandale, IA 50322-3863 | 2016-03-24 |
| 1578953451 | Sarah Jane Riley | Specialist | 1840 S Gilbert, Iowa City, IA 52240-4340 | 2015-01-29 |
| 1689079931 | April Blong | Specialist | 1809 S Riverside Dr, Ames, IA 50011-3619 | 2014-10-29 |
| 1336558428 | Rebecca Ahrendsen | Specialist | 22301 312th St, Hinton, IA 51024-8859 | 2014-08-04 |
| 1114337748 | Amanda Lowe | Specialist | 3164 230th Street, Rose Hill, IA 52586 | 2014-05-05 |
| Find all providers with the same taxonomy | ||||
| City | CHARLES CITY |
| Zip Code | 50616 |
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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.