Pornchai Jonglertham (NPI# 1265567242, PAC ID# 9234238361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1265567242 |
| PAC ID by PECOS | 9234238361 |
| Professional Enrollment ID | I20070629000552 |
| Full Name | Pornchai Jonglertham |
| Organization Legal Name | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Address |
815 N Kansas Ave Hastings NE 68901-4470 |
| Phone Number | 4024605899 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 4587575550 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280032 | MARY LANNING HEALTHCARE |
| 281315 | BRODSTONE MEMORIAL HOSP |
| 281316 | WEBSTER COUNTY COMMUNITY HOSPITAL |
| 281311 | FRANKLIN COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 815 N Kansas Ave, Hastings, NE 68901-4470 | 4024605899 | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| 520 E 10th St, Superior, NE 68978-1225 | 4028793281 | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Krumm | Physical Therapy | The Mary Lanning Memorial Hospital Association | 433 N Wilson St, Blue Hill, NE 68930-3507 |
| Abby H Gallagher | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 715 N Kansas Ave, Suite 101, Hastings, NE 68901-4422 |
| Dacia D Oakeson | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 835 S Burlington Ave, Suite 108, Hastings, NE 68901-6928 |
| Catherine M Phillips | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 202 N Esther St, Fullerton, NE 68638-3029 |
| Frederick D Catlett | Family Medicine | The Mary Lanning Memorial Hospital Association | 606 N Minnesota Ave, Suite 1, Hastings, NE 68901-5256 |
| Kylene M Schroer | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 223 E 14th St, Suite 100, Hastings, NE 68901-3240 |
| Daniel M Brailita | Infectious Disease | The Mary Lanning Memorial Hospital Association | 425 N Diers Ave, Suite 2, Grand Island, NE 68803-4910 |
| Richard B Koefoot Jr. | Urology | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Nancy D Bredenkamp | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 102 N Pine St, Blue Hill, NE 68930-5532 |
| Troy L Swayze | Certified Registered Nurse Anesthetist (crna) | The Mary Lanning Memorial Hospital Association | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 |
| Street Address |
815 N KANSAS AVE |
| City | HASTINGS |
| State | NE |
| Zip | 68901-4470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlene R Springer | Nurse Practitioner | The Mary Lanning Memorial Hospital Association | 815 N Kansas Ave, Hastings, NE 68901-4470 |
| Thomas W Zusag | Radiation Oncology | The Mary Lanning Memorial Hospital Association | 815 N Kansas Ave, Hastings, NE 68901-4470 |
| Mehmet S Copur | Medical Oncology | The Mary Lanning Memorial Hospital Association | 815 N Kansas Ave, Morrision Cancer Center, Hastings, NE 68901-4470 |
| Heidi L Degodt | Clinical Social Worker | The Mary Lanning Memorial Hospital Association | 815 N Kansas Ave, Morrision Cancer Center, Hastings, NE 68901-4470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Welch | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| William D Terrell | Ophthalmology | Retina Center of Nebraska PC | 2115 N Kansas Ave, Suite 104, Hastings, NE 68901-2615 |
| Gary L Wyeno | Qualified Audiologist | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Mark L Keller | Otolaryngology | 2115 N Kansas Ave, Suite 203, Hastings, NE 68901-2615 | |
| Richard D French | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| George M Adam | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Todd A Pankratz | Obstetrics/gynecology | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Lindsay N Van Pelt | Nurse Practitioner | Obstetricians and Gynecologists, P.C. | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Paul C Wibbels | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| David R Little | Internal Medicine | Hastings Internal Medicine Associates PC | 2115 N Kansas Ave, Hastings, NE 68901-2644 |
| Find all physicians in zip 68901 | |||
| City | HASTINGS |
| Zip Code | 68901 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | HASTINGS + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Pornchai Jonglertham.
| 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.