SIWAT KIRATISEAVEE (NPI# 1629280664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629280664 |
| Entity Type | Individual |
| Full Name | SIWAT KIRATISEAVEE |
| Credential | MD |
| Practice Address |
208 Maccorkle Ave Se Charleston WV 25314-1160 |
| Practice Telephone | 3043434300 |
| Practice Fax Number | 3043435473 |
| Mailing Telephone | 3043434300 |
| Mailing Fax Number | 3043435473 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 22761 | WV | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | P48044 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810009489 | 05 |
| Street Address |
208 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25314-1160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720192826 | Jane Thomas Christenson | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-08-18 |
| 1780152553 | David Tomczyk | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1197 | 2018-11-09 |
| 1093191124 | Leann Mckay | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2015-07-30 |
| 1033558465 | Krystal Smithers | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2013-06-19 |
| 1144595026 | Jessica Jean Dearman | Physician Assistant | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2012-03-12 |
| 1376828095 | Caroline A. Williams | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2011-10-13 |
| 1316013295 | Wv Asthma & Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-24 |
| 1114005477 | Wv Asthma and Allergy Centers, Inc. | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-11-02 |
| 1184715948 | Melissa Jose Gamponia | Family Medicine | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-09-27 |
| 1013014620 | Chang Hyuk Choi | Allergy & Immunology | 208 Maccorkle Ave Se, Charleston, WV 25314-1160 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033559 | Nancy Galvan | Technician | 4587 Kanawha State Forrest Dr., Charleston, WV 25314 | 2020-11-04 |
| 1093316424 | Emma Mccloud | Technician | 710 Colony Dr., Charleston, WV 25314 | 2020-11-03 |
| 1699376137 | Amanda Gail Evans | Technician | 11 Happy Hl, Charleston, WV 25314 | 2020-11-02 |
| 1457879074 | Samantha Pennington | Pharmacist | 1100 Fledderjohn Rd Kroger #785, Charleston, WV 25314 | 2017-09-04 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1285039727 | West Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 885 Oakwood Rd., Charleston, WV 25314 | 2014-10-27 |
| 1386980381 | Miranda L Broyles | Nurse Practitioner | 3200 Maccorkle Avenue Southwest, Charleston, WV 25314 | 2012-12-19 |
| 1548482896 | Christina M. Arco, Phd Pllc | Psychologist | 1013 B Oakhurst Drive, Charleston, WV 25314 | 2007-05-03 |
| 1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
| 1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
| Find all providers in zip 25314 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164956439 | Rosenblatt Enterprise Group, LLC. | Allergy & Immunology | 46 Montagu St, Ste B, Charleston, SC 29401-6709 | 2017-04-13 |
| 1861438699 | Brian Samuel Dantzler | Allergy & Immunology | 46 Markfield Dr, Suite A, Charleston, SC 29407-6982 | 2006-06-21 |
| 1538101258 | Allergy Partners, Pllc | Allergy & Immunology | 46a Markfield Dr, Charleston, SC 29407-6942 | 2006-06-11 |
| 1891779203 | Le Mcneill Md Sc | Allergy & Immunology | 506 W Lincoln, Ste 200 A & B, Charleston, IL 61920 | 2005-11-30 |
| 1356333405 | Lawrence Blair Thrush Jr. | Allergy & Immunology | 3411a Noyes Ave Se, Charleston, WV 25304 | 2005-08-16 |
| 1407858996 | Thomas Bailey Harper IIi | Allergy & Immunology | 2270 Ashley Crossing Dr, Suite 150, Charleston, SC 29414-5732 | 2005-08-15 |
| 1902323504 | University Medical Associates | Allergy & Immunology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2017-08-24 |
| 1376091645 | Asthma, Allergy and Immunology Clinics, LLC | Allergy & Immunology | 452 Folly Rd, Suite A, Charleston, SC 29412-2641 | 2016-09-15 |
| 1376819524 | Gregory Hayward Bennett | Allergy & Immunology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2012-03-31 |
| 1255666954 | Alpha Care Allergy, Asthma & Immunology | Allergy & Immunology | 435 Folly Rd, Charleston, SC 29412-2624 | 2009-10-14 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25314 |
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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.