SOMPRASONG SONGCHAROEN


Address: 160 Fountains Blvd Ste B, Madison, MS 39110
Phone: 6019812525

SOMPRASONG SONGCHAROEN (NPI# 1689615486) 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) 1689615486
Entity Type Individual
Full Name SOMPRASONG SONGCHAROEN
Credential M.D.
Practice Address 160 Fountains Blvd Ste B
Madison
MS 39110
Mailing Address 160 Fountains Blvd Ste B
Madison
MS 39110-6343
Practice Telephone 6019812525
Practice Fax Number 6019813152
Mailing Telephone 6019812525
Mailing Fax Number 6019813152
Enumeration Date 2006-06-10
Last Update Date 2018-11-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery 07162 MS Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
07162 MS Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
07162 MS Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
07162 MS Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
160 Fountains Blvd Ste B, Madison, MS 39110 6019812525 6019813152
971 Lakeland Dr Ste 315, Jackson, MS 392164607 6019812525 6019813152

Office Location

Street Address 160 FOUNTAINS BLVD STE B
City MADISON
State MS
Zip Code 39110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366604100 Erica Hutcheson Bass Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2008-07-01
1275744450 Frederick Cortney Sailes Plastic Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6380 2007-05-27
1467663906 Emile Anthony Picarella Jr. Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2007-05-25
1194858688 William Dotie Jackson Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2007-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134784689 Therapy South - Gluckstadt LLC Physical Therapist 1716 Us 51, Ste N, Madison, MS 39110 2019-05-09
1871054098 Summit Medical Solutions Durable Medical Equipment & Medical Supplies 107 Azalea Street, Madison, MS 39110 2019-03-29
1912488198 Madison Medical Compounding Pharmacy Pharmacy 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 2018-08-24
1679061469 Nuvena Vein Clinic Anesthesiology 120 Fountains Blvd, Madison, MS 39110 2018-04-26
1467960484 Brick City Drugs, LLC Durable Medical Equipment & Medical Supplies 159 Fountains Blvd, Madison, MS 39110 2018-01-11
1093227589 Hannah Monk Hawthorne Counselor 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 2017-10-25
1548786650 Kimberly Allen Pharmacist 1100 Us- 51, Madison, MS 39110 2017-08-21
1891218186 Delta Elizabeth Stark Chiropractor 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 2017-07-19
1861914848 Laura Hartlein Dietitian, Registered 200 Park Circle Dr. #2, Flowood, MS 39110 2017-07-12
1831620608 Ona Irby Occupational Therapist 105 Munich Dr, Madison, MS 39110 2017-03-23
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548617962 Shady Elmaraghi Surgery Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 2016-05-16
1669868709 Oksana Babchenko Surgery Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 2015-04-14
1659767309 Katherine Shaum Surgery Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 2015-04-09
1922427939 Rebecca Leigh Farmer Surgery Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 2014-04-08
1083930622 Steve J Kempton Surgery 752 N High Point Rd, Madison, WI 53717 2010-04-07
1366604100 Erica Hutcheson Bass Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2008-07-01
1467663906 Emile Anthony Picarella Jr. Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2007-05-25
1194858688 William Dotie Jackson Surgery 160 Fountains Blvd Ste B, Madison, MS 39110-6343 2007-03-13
1669540365 David G. Dibbell Sr. Surgery 600 Highland Ave., Madison, WI 53792 2006-12-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023477841 Plastic Surgery of North Ms., Pa Surgery 4248 S Eason Blvd Ste B, Tupelo, MS 38801-6549 2016-02-22
1164511374 Suman Kumar Das Surgery 2629 Courthouse Cir, Flowood, MS 39232-9521 2006-10-12
1477568749 Forrest Simpson Wells Surgery 4509 Gibson Rd, Ocean Springs, MS 39564-6026 2006-07-29
1043872948 John Magruder Sullivan IIi Surgery 2500 N State St, Jackson, MS 39216-4500 2019-07-01
1508352196 Katherine Christine Benedict Surgery 2500 N State St, Jackson, MS 39216-4500 2018-07-06
1184022485 Mississippi Center for Plastic Surgery Surgery 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 2014-12-18
1891087417 William Darden North Surgery 1055 River Oaks Dr, Flowood, MS 39232-9595 2011-05-16
1841581352 South Central Cinics, Inc Surgery 1410 Jefferson St, Laurel, MS 39440-4243 2011-05-02
1073770228 Shell Plastic Surgery,pllc Surgery 1306 Belk Blvd, Oxford, MS 38655-5302 2008-05-16
1295927838 John H Miller Md PC Surgery 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 2007-08-17
Find all providers with the same taxonomy

Competitor

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City MADISON
Zip Code 39110

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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