TOSAPORN KRASAEATH (NPI# 1366424640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366424640 |
| Entity Type | Individual |
| Full Name | TOSAPORN KRASAEATH |
| Credential | MD |
| Practice Address |
1703 Meadows Ln Vidalia GA 30474-8915 |
| Mailing Address |
Po Box 2049 Moultrie GA 31776-2049 |
| Practice Telephone | 8003824023 |
| Mailing Telephone | 8003824023 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
026884 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000292289C | 05 |
| Street Address |
1703 MEADOWS LN |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627588 | Meadows Regional Medical Center, Inc. | Skilled Nursing Facility | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2005-08-23 |
| 1861773764 | Montgomery Emergency Group, LLC | Physician Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2011-09-06 |
| 1891905121 | Miranda Leigh Quick | Occupational Therapy Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-05-23 |
| 1609086768 | John Marcus Norris | Physical Therapy Assistant | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-05-23 |
| 1891915534 | Wendy Neesmith | Physical Therapist | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-04-26 |
| 1720102361 | Vidalia Imaging Associates, LLC | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
| 1912021684 | Meadows Regional Medical Center | General Acute Care Hospital | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
| 1861516908 | Rhonda Mack James | Dietitian, Registered | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-16 |
| 1093853764 | Meadows Regional Medical Center Inc | Pharmacy | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-02-02 |
| 1962557454 | Frank Gibase Md PC | Anesthesiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| 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 |
|---|---|---|---|---|
| 1841452968 | Carl Leland Stalvey | Radiology | 407 Durden St, Vidalia, GA 30474-4600 | 2008-06-30 |
| 1679754691 | Anna S Franklin | Radiology | 1701 Green Acres Dr, Vidalia, GA 30474-8531 | 2007-11-19 |
| 1720102361 | Vidalia Imaging Associates, LLC | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2007-03-19 |
| 1801848387 | Alfred Parkhill Hand | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2006-05-16 |
| 1659353936 | Vidalia Radiology Associates | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2005-11-14 |
| 1073508107 | James Curtis Madix | Radiology | 1703 Meadows Ln, Vidalia, GA 30474-8915 | 2005-09-14 |
| 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.