DR. PUANGPETCH CHANBUSARAKUM (NPI# 1275656647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275656647 |
| Entity Type | Individual |
| Full Name | DR. PUANGPETCH CHANBUSARAKUM |
| Practice Address |
722 Williamson St Madison WI 53703-3546 |
| Mailing Address |
5005 Cottage Grove Rd Madison WI 53716-1309 |
| Practice Telephone | 6082671445 |
| Mailing Telephone | 6082671445 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21116 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
722 WILLIAMSON ST |
| City | MADISON |
| State | WI |
| Zip Code | 53703-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
| 1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
| 1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
| 1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
| 1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
| Find all providers in MADISON | ||||
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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.