SOMNUK POW-ANPONGKUL (NPI# 1053304428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053304428 |
| Entity Type | Individual |
| Full Name | SOMNUK POW-ANPONGKUL |
| Credential | M.D. |
| Practice Address |
1101 Ocilla Rd Douglas GA 31533-2207 |
| Practice Telephone | 9123841900 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
029756 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | 029756 | 01 |
| GA | 00344748B | 05 |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238211 | Joel W Ferree | Internal Medicine | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2005-07-13 |
| 1982239141 | Candace Rose Musgrove | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2020-03-09 |
| 1750920336 | Alexis Courson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2019-12-31 |
| 1649839994 | Bobby Joe Guess Jr. | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2262 | 2019-06-11 |
| 1801390836 | Jodi Rogers | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-23 |
| 1518460781 | Amy Michelle Whitley | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2018-03-14 |
| 1487160362 | Richard Steven Keene | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-12-14 |
| 1316451735 | Beverly Denise Graham | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-11-21 |
| 1871010264 | Laura Melissa Steverson | Nurse Practitioner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-08-25 |
| 1366974263 | Coffee Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396825741 | Open Mri of Douglas LLC | Radiology | 1315 Ocilla Road, Douglas, GA 31533 | 2006-10-17 |
| 1205164688 | Community Health Care of Douglas | Radiology | 2174 W Oak Ave, Douglas, AZ 85607 | 2009-11-24 |
| 1548471030 | Radiology Assoc of South Ga, P.C. | Radiology | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2007-05-25 |
| 1568564128 | Dennis S Yutani | Radiology | 111 S 5th St, Douglas, WY 82633-2434 | 2006-09-03 |
| 1013900489 | Nirandr Inthachak | Radiology | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1912464702 | Vickie Consuella71 Bush | Radiology | 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 | 2019-02-27 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1205354693 | Zenith Radiology LLC | Radiology | 1059 Windermere Xing, Cumming, GA 30041-6104 | 2017-09-06 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1902346422 | Allegiance Imaging and Radiology LLC | Radiology | 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 | 2017-03-02 |
| 1518406743 | Flexogenix Georgia PC | Radiology | 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 | 2017-02-21 |
| 1649727215 | Metro Imaging Cumming, LLC | Radiology | 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 | 2016-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.