PITCHA CHOMPOOPONG (NPI# 1629420542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629420542 |
Entity Type | Individual |
Full Name | PITCHA CHOMPOOPONG |
Credential | MD |
Practice Address |
200 1st St Sw Rochester MN 55905-0001 |
Practice Telephone | 5072842511 |
Mailing Telephone | 5072842511 |
Enumeration Date | 2016-07-02 |
Last Update Date | 2020-08-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
66994 | MN | Allopathic & Osteopathic Physicians |
Street Address |
200 1ST ST SW |
City | ROCHESTER |
State | MN |
Zip Code | 55905-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225031875 | Christine Maria Miller | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-05-27 |
1184225898 | Ellen Renne Larkin | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-08 |
1972104180 | Malinda Marie Wilcox | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
1720689920 | Tammy Lynn Perttula | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
1619578721 | Aaron Anderson | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
1093316598 | Rebecca Lea Parttridge | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
1710588173 | Eduardo Gabriel Danduch | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
1962002030 | Taylor Jeanne Jamison | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
1619577640 | Hayden Taylor Middleton | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
1295335461 | Vivek Sureshchandran Tharayil | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
Find all providers in zip 55905 |
Taxonomy Code | 2084N0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neuromuscular Medicine |
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255773149 | Thurman Wheeler | Psychiatry & Neurology | 601 Elmwood Ave., Box 645, Rochester, NY 14642 | 2013-07-22 |
1033537311 | Phillip C Mongiovi | Psychiatry & Neurology | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2014-04-02 |
1568776904 | Elie Naddaf | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-07-27 |
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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.