Tosaporn Krasaeath (NPI# 1366424640, PAC ID# 4880720416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366424640 |
| PAC ID by PECOS | 4880720416 |
| Professional Enrollment ID | I20100407000211 |
| Full Name | Tosaporn Krasaeath |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Address |
1 Meadows Pkwy Vidalia GA 30474-8759 |
| Phone Number | 9126806220 |
| Gender | M |
| Graduation Year | 1971 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 0042389231 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| 110071 | APPLING HOSPITAL |
| 111333 | JEFF DAVIS HOSPITAL |
| 110109 | EMANUEL MEDICAL CENTER |
| 111334 | CANDLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Shotwell St, Bainbridge, GA 39819-4256 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 163 E Tollison St, Baxley, GA 31513-0120 | 9123679841 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 902 N 7th St, Cordele, GA 31015-3234 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 555 Highland Lakes Dr, Eastman, GA 31023-7283 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 9123757781 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 2411 Bull St, Apt B, Savannah, GA 31401-9193 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 9126806220 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Tyler Burgner | Diagnostic Radiology | South Georgia Radiology Associates LLC | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 |
| James S Mcclellan Jr. | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Arthur L Fritz | Diagnostic Radiology | South Georgia Radiology Associates LLC | 4045 Lankford Hwy, Exmore, VA 23350-2642 |
| Jeremy R Hill | Diagnostic Radiology | South Georgia Radiology Associates LLC | 5801 Pinehurst Byromville Rd, Pinehurst, GA 31070-6907 |
| Burton D Goodwin | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Deborah J Charles | Diagnostic Radiology | South Georgia Radiology Associates LLC | 902 N 7th St, Cordele, GA 31015-3234 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Dale R Nance | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Street Address |
1 MEADOWS PKWY |
| City | VIDALIA |
| State | GA |
| Zip | 30474-8759 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Evelyn Kemp | Nurse Practitioner | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Hunter Dennard Richman | Physician Assistant | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Brick S Acosta | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Henry D Cline | Radiation Oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Sarah F Campbell | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Charles A Gordon | Internal Medicine | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Alejandro Garcia-hernandez | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Frank Gibase | Anesthesiology | Meadows Anesthesia LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Stephen G Tiley | Hematology/oncology | Meadows Regional Medical Center Inc | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Casey Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Karen Pamela Mcneely | Nurse Practitioner | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| David H Paine | Internal Medicine | 1006 A Mt Vernon Rd, Vidalia, GA 30474 | |
| Walter J Revell Jr. | General Surgery | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Archie J Champion | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Letty Revell Peterson | Dermatology | Peterson Dermatology, P.C. | 305 1st St W, Vidalia, GA 30474 |
| Charles M Spivey | Orthopedic Surgery | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Richard M Proenza | Physician Assistant | Mark Spivey Orthopedic Clinic LLC | 3301 1st St E, Suite A, Vidalia, GA 30474 |
| Paul J Giles | Cardiovascular Disease (cardiology) | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Robert Andrew Bell | Nurse Practitioner | Paul Joseph Giles Md LLC | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 |
| Find all physicians in zip 30474 | |||
| City | VIDALIA |
| Zip Code | 30474 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VIDALIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Tosaporn Krasaeath.
| 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.