DUSIT ADSTAMONGKONKUL


Address: 1000 E Primrose St Ste 200, Springfield, MO 65807
Phone: 4172691010

DUSIT ADSTAMONGKONKUL (NPI# 1619382645) 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) 1619382645
Entity Type Individual
Full Name DUSIT ADSTAMONGKONKUL
Credential M.D.
Practice Address 1000 E Primrose St Ste 200
Springfield
MO 65807
Mailing Address Po Box 4046
Springfield
MO 65808-4046
Practice Telephone 4172691010
Practice Fax Number 4172696755
Mailing Telephone 4172695712
Mailing Fax Number 4172697567
Enumeration Date 2014-06-28
Last Update Date 2018-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
2017039503 MO Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
7231 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 E PRIMROSE ST STE 200
City SPRINGFIELD
State MO
Zip Code 65807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205806312 Christopher R Spinelli Pediatrics 1000 E Primrose St Ste 200, Springfield, MO 65807 2006-01-23
1396802625 Lester E Cox Medical Centers Clinic/Center 1000 E Primrose St Ste 200, Springfield, MO 65807-5388 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
Find all providers in zip 65807

Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205810082 Michael R Pranzatelli Psychiatry & Neurology Southern Illinois University Healthcare Administration, Springfield, IL 62794 2005-12-05
1700146792 Adam J David Psychiatry & Neurology 50 Wason Avenue, Springfield, MA 01107-1274 2012-05-23
1619289311 Jacqueline A. Hauer Psychiatry & Neurology 1965 S Fremont Ave, Suite 130, Springfield, MO 65804-2201 2010-07-10
1023246600 Jeffrey Russell Frank Psychiatry & Neurology 1 Hayden Bridge Way, Springfield, OR 97477-9747 2009-06-23
1811105331 James J Collins Psychiatry & Neurology 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 2007-05-18
1366562159 David C Dredge Psychiatry & Neurology 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 2007-03-29
1518058676 Anthony H Jackson Psychiatry & Neurology 50 Wason Ave, 1st Floor, Springfield, MA 01107-1274 2006-09-27
1033200944 Beth A. Rosen Psychiatry & Neurology 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 2006-09-27
1255315065 Theodore R Sunder Psychiatry & Neurology 421 N 9th St, Springfield, IL 62702-5317 2005-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356478705 Robin Chanel Ryther Psychiatry & Neurology 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 2007-02-27
1902992696 David J Callahan Psychiatry & Neurology 13001 N Outer 40 Rd Ste 1a, Ste 1a, Chesterfield, MO 63017-5941 2006-10-04
1912986332 Robert Gordon Mcafee Psychiatry & Neurology 600 N Main, Mount Vernon, MO 65712 2006-01-13
1538542329 Benjamin Paul Kay Psychiatry & Neurology 1 Barnes Jewish Hospital Plz, 1st Fl, Pediatric Neurology, Saint Louis, MO 63110-1003 2015-06-30
1023499001 Regina Lindsay Triplett Psychiatry & Neurology 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 2015-06-15
1881034866 Shannon Christine Agner Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-07-05
1497195960 Oleg V Lobanov Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-06-28
1255776704 Nitin C Patel Md LLC Psychiatry & Neurology 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 2013-05-09
1497199640 Keisuke Ueda Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-04-18
1780028043 Lindsay Peglar Psychiatry & Neurology 1 Childrens Place, Suite 2d, St. Louis, MO 63110 2013-04-17
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Competitor

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City SPRINGFIELD
Zip Code 65807

Improve Information

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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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