MR. DEJO VIPRAKASIT (NPI# 1255312096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255312096 |
| Entity Type | Individual |
| Full Name | MR. DEJO VIPRAKASIT |
| Credential | MD |
| Practice Address |
1995 Hwy 51 South Suite 104 Covington TN 38019 |
| Mailing Address |
Po Box 388 1995 Hwy 51 South Suite 104 Covington TN 38019 |
| Practice Telephone | 9014761135 |
| Practice Fax Number | 9014761136 |
| Mailing Telephone | 9014761135 |
| Mailing Fax Number | 9014761136 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD11008 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4031846 | 01 | |
| TN | BLUE CROSS | 2007928 | 01 |
| TN | 3383546 | 05 |
| Street Address |
1995 HWY 51 SOUTH SUITE 104 |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548242241 | Suttiwara Viprakasit | Anesthesiology | 1995 Hwy 51 South, Baptist Memorial Hospital Tipton, Covington, TN 38019 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255591285 | Ross M Hogan | Urology | 110 Lakeview Ln, Suite 100, Covington, LA 70433-7511 | 2008-06-12 |
| 1063596922 | Louisiana Healthcare Associates, LLC | Urology | 71207 Highway 21, Covington, LA 70433-7121 | 2006-10-25 |
| 1477661650 | Nicholas M Bath | Urology | 4142 Mill St Ne, Covington, GA 30014-2540 | 2006-08-28 |
| 1457365736 | Lynwood Paul Cleaveland | Urology | 4122 Tate St Ne, Covington, GA 30014-2551 | 2006-07-29 |
| 1528063732 | Baptiste William Brunner IIi | Urology | 67250 Industry Ln, Ste B, Covington, LA 70433-8716 | 2005-06-15 |
| 1295141596 | Ross Hogan M.d., LLC | Urology | 110 Lakeview Dr, Suite 100, Covington, LA 70433-7511 | 2014-07-08 |
| 1275767501 | Mohabe Anthony Vinson | Urology | 4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541 | 2009-05-14 |
| 1427237031 | Rockdale Surgical Center | Urology | 4122 Tate St Ne, Covington, GA 30014-2551 | 2007-10-31 |
| 1285834234 | Joshua Pierce Sleeper | Urology | 71207 Highway 21, Covington, LA 70433-7121 | 2007-07-18 |
| 1972709152 | Dejo Viprakasit, Md PC | Urology | 1995 Highway 51 South, Suite 104, Covington, TN 38019-3635 | 2007-06-25 |
| Find all providers in COVINGTON | ||||
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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.