DR. KIRKSAK POONKASEM (NPI# 1134382831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134382831 |
| Entity Type | Individual |
| Full Name | DR. KIRKSAK POONKASEM |
| Credential | MD |
| Practice Address |
6600 Madison St New Port Richey FL 34652-1971 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 7278157208 |
| Practice Fax Number | 7272664951 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME98316 | FL | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
ME98316 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015913400 | 05 |
| Street Address |
6600 MADISON ST |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34652-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187733 | Sherri Ann Hayes | Nurse Anesthetist, Certified Registered | 6600 Madison St, C/o Morton Plant Mease Outpatient Anesthesia, New Port Richey, FL 34652-1971 | 2005-07-13 |
| 1992359038 | Grace Maria Joseph | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2019-07-26 |
| 1508338104 | Caitlin Anne O'kennedy | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-12-20 |
| 1225500861 | Brittany Lynn Nooney | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-12-20 |
| 1184127888 | Jenna Madhavan Gibbons | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2018-03-09 |
| 1932556560 | Brianne Leigh Farmer | Emergency Medicine | 6600 Madison St, New Port Richey, FL 34652-1971 | 2016-05-24 |
| 1033580550 | Carly Nicole Johnson | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-10-09 |
| 1427440544 | Stephanie Bonventre | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-02-26 |
| 1558752279 | Ian Simpson | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-02-17 |
| 1932524881 | Marta M Howell | Physician Assistant | 6600 Madison St, New Port Richey, FL 34652 | 2014-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1679048805 | Medical Risk Solutions | Family Medicine | 5117 Madison Street, New Port Richey, FL 34652 | 2018-10-03 |
| 1962904409 | Blessings Treatment and Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
| 1053797324 | Manisha Briel Mattei | Home Health Aide | 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 | 2015-08-10 |
| 1225418155 | Richard Nikla Lmhc Dba West Coast Behavioral Therapy | Community/Behavioral Health | 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 | 2015-06-05 |
| 1003294778 | Madison Plummer | Speech-Language Pathologist | 6186 Seaside Drive, New Port Richey, FL 34652 | 2015-05-13 |
| 1194119255 | A Family Dentist Pa | Dentist | 5153 Marine Pkwy, New Port Richey, FL 34652 | 2015-03-26 |
| 1861886186 | Aap Group Inc | Pharmacy | 5812 Sr. 54, Newport Richey, FL 34652 | 2015-03-25 |
| 1225215064 | Nader H Chadda | Internal Medicine | 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 | 2008-01-23 |
| 1639351422 | Sreenivas P Vangara Md Pa | Internal Medicine | 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 | 2007-12-04 |
| Find all providers in zip 34652 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908701 | Heidi Ramazanzadeh Azari | Family Medicine | 555 John Anderson Dr, Ormond Beach, FL 32176-5480 | 2020-09-24 |
| 1902363443 | Alegis Care of Florida Pa | Family Medicine | 255 Primera Blvd Ste 264, Lake Mary, FL 32746-2148 | 2019-02-20 |
| 1710404363 | Center for Health and Wellness | Family Medicine | 3117 Spring Glen Rd Ste 407, Jacksonville, FL 32207-5906 | 2017-08-24 |
| 1891233219 | Suz M.d. LLC | Family Medicine | 11946 Skylake Pl, Unit D, Temple Terrace, FL 33617-1623 | 2017-02-06 |
| 1992116537 | Horizon Palliative Care Partners LLC | Family Medicine | 901 34th Ave N, Ste 7597, St Petersburg, FL 33734-8064 | 2014-05-16 |
| 1427341296 | Mariana Khawand-azoulai | Family Medicine | 1400 Nw 12th Ave Fl 11, Miami, FL 33136-1003 | 2011-05-26 |
| 1679889968 | Premier Family and Palliative Medical Center Inc | Family Medicine | 1 W Sample Rd # 3104, Pompano Beach, FL 33064-3547 | 2010-08-24 |
| 1568782464 | University Primary Care LLC | Family Medicine | 7495 North University Dr, Tamarac, FL 33321 | 2010-06-03 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| 1932317294 | Lawrence E Bennett | Family Medicine | 8886 Windtree St, Boca Raton, FL 33496-5090 | 2007-05-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34652 |
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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.