Preecha Supanwanid (NPI# 1669661450, PAC ID# 0244312049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1669661450 |
| PAC ID by PECOS | 0244312049 |
| Professional Enrollment ID | I20080201000284 |
| Full Name | Preecha Supanwanid |
| Address |
921 Abbot Rd East Lansing MI 48823-3170 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 921 Abbot Rd, East Lansing, MI 48823-3170 |
| Street Address |
921 ABBOT RD |
| City | EAST LANSING |
| State | MI |
| Zip | 48823-3170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane M Smith | Otolaryngology | Mid Michigan Ear Nose and Throat PC | 1500 Abbott Rd, Suite 400, East Lansing, MI 48823-1222 |
| Marilyn A Larkey | Clinical Social Worker | 1970 N Harrison Rd, East Lansing, MI 48823-1304 | |
| Gary H Dwight | Maxillofacial Surgery | 818 W Lake Lansing Rd, East Lansing, MI 48823-1308 | |
| Michelle A Meade | Chiropractic | 802 W Lake Lansing Rd, East Lansing, MI 48823-1331 | |
| Judy L Tant | Psychologist, Clinical | 1990 Pinecrest Dr, East Lansing, MI 48823-1350 | |
| Stephen P Thompson | Optometry | 2200 Coolidge Rd, Suite 15, East Lansing, MI 48823-1363 | |
| Melissa K Aste | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Michigan II PC | 2075 Coolidge Rd, East Lansing, MI 48823-1378 |
| James E Budge | Optometry | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Craig D Lewis | Ophthalmology | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Michael J Bueche | Ophthalmology | Lansing Ophthalmology, PC | 2001 Coolidge Rd, East Lansing, MI 48823-1378 |
| Find all physicians in zip 48823 | |||
| City | EAST LANSING |
| Zip Code | 48823 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | EAST LANSING + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Preecha Supanwanid.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.