Prasert Vijitbenjaronk (NPI# 1124002951, PAC ID# 5799687786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1124002951 |
| PAC ID by PECOS | 5799687786 |
| Professional Enrollment ID | I20040304000661 |
| Full Name | Prasert Vijitbenjaronk |
| Organization Legal Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Address |
525 Branson Landing Blvd Branson MO 65616-2052 |
| Phone Number | 4173357000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5092624320 |
| Number of Group Practice Members | 103 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260094 | COX MEDICAL CENTER BRANSON |
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| 260040 | COX MEDICAL CENTERS |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 1150 State Hwy 248, Suite 200, Branson, MO 65616-4186 | 4173364112 | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| 525 Branson Landing Blvd, Branson, MO 65616-2052 | 4173357000 | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Organization Legal Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zdzislaus Joseph Wanski | Endocrinology | Skaggs Community Hospital Association | 1150 State Hwy 248 102, Branson, MO 65616-4186 |
| Gary Witucki | Family Medicine | Skaggs Community Hospital Association | 101 Skaggs Rd, Suite 103, Branson, MO 65616-2062 |
| Allison K Baker | Nurse Practitioner | Skaggs Community Hospital Association | 1150 State Hwy 248, Suite 200, Branson, MO 65616-4186 |
| Elizabeth J Ballard | Family Medicine | Skaggs Community Hospital Association | 13852 Us Hwy 160, Forsyth, MO 65653-5156 |
| John W Huffman | Orthopedic Surgery | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Thomas J Legg | Family Medicine | Skaggs Community Hospital Association | 18452 Business, Suite 13, Reeds Spring, MO 65737-9609 |
| Cody B Hoeflicker | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Nana A Gaisie | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Elisabeth Choate | Nurse Practitioner | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Suite 306, Branson, MO 65616-2052 |
| Sabera Shabnam | Family Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Street Address |
525 BRANSON LANDING BLVD |
| City | BRANSON |
| State | MO |
| Zip | 65616-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynda L Laposky | Anesthesiology | White River Anesthesia Associates, Inc | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Anees Afroze | Pulmonary Disease | Ferrell Duncan Clinic Branson | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Cody B Hoeflicker | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Nana A Gaisie | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Lacey R Vanemburg | Certified Registered Nurse Anesthetist (crna) | White River Anesthesia Associates, Inc | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Elisabeth Choate | Nurse Practitioner | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Suite 306, Branson, MO 65616-2052 |
| Sabera Shabnam | Family Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Sumalatha Nandikonda | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Sarah E Smitherman | Internal Medicine | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Branson, MO 65616-2052 |
| Larry D Johnson | Physician Assistant | Skaggs Community Hospital Association | 525 Branson Landing Blvd, Suite 100, Branson, MO 65616-2152 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Huffman | Orthopedic Surgery | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| James T Bonucchi | Endocrinology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 201, Branson, MO 65616-1911 |
| Mary Ann Geer | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Nicholas Anderson | Physical Medicine and Rehabilitation | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Gregory Havermale | Family Medicine | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 206, Branson, MO 65616-1911 |
| Ashden M Vogler-blake | Nurse Practitioner | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Diane L Cornelison | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Dusit Adstamongkonkul | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Mark A Mandelbaum | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Christopher Lintao Valencia | Neurology | Skaggs Community Hospital Association | 121 Cahill Rd, Suite 204, Branson, MO 65616-1911 |
| Find all physicians in zip 65616 | |||
| City | BRANSON |
| Zip Code | 65616 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | BRANSON + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Prasert Vijitbenjaronk.
| 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.