SAKKAPOL ONGWIJITWAT


Address: 7930 N Shadeland Ave, Indianapolis, IN 46250-2041
Phone: 3176216725

SAKKAPOL ONGWIJITWAT (NPI# 1356547095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356547095
Entity Type Individual
Full Name SAKKAPOL ONGWIJITWAT
Credential MD
Practice Address 7930 N Shadeland Ave
Indianapolis
IN 46250-2041
Mailing Address 6626 E. 75th Street
Suite 500
Indianapolis
IN 46250-2890
Practice Telephone 3176216725
Practice Fax Number 3176214545
Enumeration Date 2007-06-21
Last Update Date 2020-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
01073887A IN Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
2013006646 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201226670 05
IN MEDICARE RR PTAN P01347726 01

Office Location

Street Address 7930 N SHADELAND AVE
City INDIANAPOLIS
State IN
Zip Code 46250-2041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922075050 Gale Jean Wolsfeld Physical Therapist 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2006-03-08
1386202968 Jordan Elise Horn Physician Assistant 7930 N Shadeland Ave, Indianapolis, IN 46250-2942 2019-05-30
1356799126 Kelsey Gentry Physician Assistant 7930 N Shadeland Ave, Indianapolis, IN 46250-2942 2016-06-02
1821490632 Andrew Reynolds Physician Assistant 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2014-09-24
1548661986 Emily Mazanowski Physician Assistant 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2014-09-04
1518374222 Kristyn E Miller Physician Assistant 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2014-07-14
1497182356 Advanced Orthopro, Inc. Prosthetic/Orthotic Supplier 7930 N Shadeland Ave, Indianapolis, IN 46250-2942 2013-10-08
1487992392 Community Physicians of Indiana Inc Orthopaedic Surgery 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2013-01-28
1831485358 Michael Craig Mcmains Orthopaedic Surgery 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2011-06-22
1831427343 Kristopher Michael Klein Physical Therapist 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 2009-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861037004 Angela L Davis Pharmacist 8520 Bash St, Indianapolis, IN 46250 2019-11-12
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1891222584 Confidential Drug LLC Pharmacy 8520 Bash St Ste D, Indianapolis, IN 46250 2017-05-12
1659813590 Occupational Health Centers of The Southwest Pa Clinic/Center 8257 Center Run Rd, Indianapolis, IN 46250 2016-11-09
1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
1861761934 Kb Medical, Inc. Durable Medical Equipment & Medical Supplies 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 2011-12-20
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871550053 John Hur Orthopaedic Surgery 201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280-1393 2006-04-29
1043625361 Phillip Bostian Orthopaedic Surgery 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 2014-06-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407251382 Thomas A Brady Sports Medicine Ctr Orthopaedic Surgery 1010 S Main St, Ste 100, Tipton, IN 46072-9753 2014-11-04
1639340672 Stephen F. Mitros, M.d., P.C. Orthopaedic Surgery 720 Cedar St Ste 160, South Bend, IN 46617-2093 2008-03-18
1215440334 Matthieu Zingg Orthopaedic Surgery 13000 E 136th St, Fishers, IN 46037-9478 2017-11-10
1518143163 St. Francis Hospital and Health Centers Orthopaedic Surgery 701 E County Line Rd, Suite 204, Greenwood, IN 46143-1072 2008-01-14
1982770160 Charles Leo Tremaine Orthopaedic Surgery 1950 45th Ave, Suite 200, Munster, IN 46321-3927 2006-11-28
1336101062 Timothy J Williams Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-04-06
1083675656 Joint Replacement Surgeons of Indiana Orthopaedic Surgery 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-03-31

Competitor

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City INDIANAPOLIS
Zip Code 46250

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Dataset Information

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.

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