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POONPUTT CHOTIPRASIDHI M.D., NPI 1558363713

Internal Medicine in MOLINE, IL

Last Updated on : Apr 24,2019

About POONPUTT CHOTIPRASIDHI (NPI 1558363713)


POONPUTT CHOTIPRASIDHI is an Internal Medicine provider in MOLINE, United States. His medical specialization is Internal Medicine with a focus in Gastroenterology.

1558363713 is NPI number of POONPUTT CHOTIPRASIDHI.

POONPUTT CHOTIPRASIDHI's primary taxonomy code based on NPI Lookup is 207RG0100X with license number 036103123. This taxonomy code refers to Internal Medicine.

POONPUTT CHOTIPRASIDHI has more than 16 years of experience.

POONPUTT CHOTIPRASIDHI current practice location address is 525 VALLEY VIEW DR, MOLINE, IL. POONPUTT CHOTIPRASIDHI can be reached out via phone at 309-601-2800 and via fax at 309-601-2801 .

You can also correspond with POONPUTT CHOTIPRASIDHI through mail at mailing address 525 VALLEY VIEW DR, MOLINE, IL, United States. Mailing address contact number is 309-601-2800.

The enumeration date of POONPUTT CHOTIPRASIDHI is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 3 years ago.

1558363713 NPI Information

Name POONPUTT CHOTIPRASIDHI
National Provider Id (NPI) 1558363713
Entity Type Individual
Gender M
Credential M.D.
Practice Address 525 VALLEY VIEW DR,
MOLINE, IL, United States
Practice Telephone 309-601-2800
Practice Fax Number 309-601-2801
Mailing Address 525 VALLEY VIEW DR ,
MOLINE, IL, United States
Mailing Telephone 309-601-2800
Mailing Fax Number 309-601-2801
Enumeration Date 01-Jun-2005
Last Updated Date 24-Apr-2019

POONPUTT CHOTIPRASIDHI (NPI 1558363713) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207RG0100X Internal Medicine, Gastroenterology 036103123 IL

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
036103123 MEDICAID (05) IL
G97214 MEDICARE UPIN (02) IL
I14117 MEDICARE PIN (08) IA
K12162 MEDICARE PIN (08) IL
P00155422 Other (non-Medicare) (01) IL Railroad medicare

POONPUTT CHOTIPRASIDHI (NPI 1558363713) Office Location

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1700425261 MOLLY GILCHRIST Physical Therapist 850 43RD AVE STE 100,
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1881233344 JENNIFER JASPER Physical Therapist 850 43RD AVE STE 100,
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1124667688 JOSEPH MCCAUGHEY Physical Therapist 850 43RD AVE STE 100,
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1477192938 CONNOR OBERT Physical Therapist 931 13TH AVE N,
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1093354565 BAILEY WEBER Physical Therapist 850 43RD AVE STE 100,
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1346889813 ELIZABETH HUSS Physical Therapist 850 43RD AVE STE 100,
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1598304065 JUSTIN KREITER Physical Therapist 850 43RD AVE STE 100,
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1396384863 ALYSSA URHAMMER Physical Therapist 1825 29TH ST NE STE C,
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1831738202 KYLE HULSHIZER Physical Therapist 850 43RD AVE STE 100,
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1902445398 JACOB TEGELER Physical Therapist 850 43RD AVE STE 100,
MOLINE, IL, United States
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1326687716 ERIC HUBER Physical Therapist 6101 NORTHWEST BLVD,
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1871132274 JILLIAN CAPPAERT Physical Therapist 6101 NORTHWEST BLVD,
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1194364596 LUCAS TERVEER Physical Therapist 510 VALLEY VIEW DR,
MOLINE, IL, United States
02-Jan-2020
1174501829 STEVEN A BOARDMAN Orthopaedic Surgery 520 VALLEY VIEW DR,
MOLINE, IL, United States
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1245397538 RESOLVE HEALTHCARE LLC Clinic/Center, Radiology 545 VALLEY VIEW DR,
MOLINE, IL, United States
03-Jan-2007
1467430132 RICHARD S COLLINS Orthopaedic Surgery, Orthopaedic Surgery of the Spine 520 VALLEY VIEW DR,
MOLINE, IL, United States
04-Jan-2006
1750369419 EDWARD A CONNOLLY Orthopaedic Surgery 520 VALLEY VIEW DR,
MOLINE, IL, United States
04-Jan-2006
1639157399 THOMAS G DRABEK Physician Assistant, Surgical 520 VALLEY VIEW DR,
MOLINE, IL, United States
04-Jan-2006
1275511974 USHARANI M KUMAR Internal Medicine, Rheumatology 609 35TH AVE,
MOLINE, IL, United States
04-Jan-2006

FAQs

Whose NPI Number is 1558363713?

1558363713 is the NPI number of POONPUTT CHOTIPRASIDHI.

What is the specialty for POONPUTT CHOTIPRASIDHI?

The Specialty of POONPUTT CHOTIPRASIDHI is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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