TANAPORN RASAMEESORAJ (NPI# 1649534496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649534496 |
| Entity Type | Individual |
| Full Name | TANAPORN RASAMEESORAJ |
| Credential | M.D. |
| Practice Address |
4233 Gateway Blvd Newburgh IN 47630 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124771560 |
| Practice Fax Number | 8124771595 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01082567A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
125071614 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1649534496 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 676 N Saint Clair St Ste 7-701, Chicago, IL 606112927 | 3129264197 |
| Street Address |
4233 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673661 | Ayaz Shaikh | Plastic Surgery | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2006-03-16 |
| 1346899465 | Rachel D Roy | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-09-11 |
| 1407335318 | Jessica L Conner | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2018-08-10 |
| 1619454188 | Erica R Thomason | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2018-07-26 |
| 1255875092 | Katherine L Waits | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2016-12-13 |
| 1689058356 | Lorin Mickelsen Iv | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630 | 2015-07-13 |
| 1629462635 | Tyler Tidwell | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2015-03-27 |
| 1588083778 | Sally Elizabeth Vanwinkle | Physician Assistant | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-04-15 |
| 1003233263 | Gordon Brown | Family Medicine | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-03-26 |
| 1811145832 | The Vision Care Center, LLC | Optometrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699933796 | Thomas Jerome Rusche | Psychiatry & Neurology | 6566 Sharon Rd, Newburgh, IN 47630-1939 | 2008-05-27 |
| 1245218817 | Venkatesha Reddy | Psychiatry & Neurology | 4 Victory Ct, Newburgh, NY 12550-1745 | 2006-01-04 |
| 1295949279 | Olga Fishman | Psychiatry & Neurology | 1200 Route 300, Newburgh, NY 12550-5003 | 2007-05-09 |
| 1700959988 | John T Hughes | Psychiatry & Neurology | 275 North St, Suite 4, Newburgh, NY 12550-3143 | 2006-11-16 |
| 1669587093 | Syed Nasir | Psychiatry & Neurology | 5159 Route 9w, Suite B, Newburgh, NY 12550-1452 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
| 1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
| 1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
| 1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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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.