PRAKORB MEDICAL ASSOCIATE INC. (NPI# 1902127095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902127095 |
| Entity Type | Organization |
| Organization Name | PRAKORB MEDICAL ASSOCIATE INC. |
| Practice Address |
129 Simpson Rd Brownsville PA 15417-9689 |
| Practice Telephone | 7247859696 |
| Practice Fax Number | 7247857225 |
| Mailing Telephone | 7247859696 |
| Mailing Fax Number | 7247857225 |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2010-06-13 |
| Authorized Official Name | PRAKORB ISARIYAWONGSE (OWNER) |
| Authorized Official Telephone | 7247859696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
033993L | PA | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
033993L | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000586924 0003 | 05 |
| Street Address |
129 SIMPSON RD |
| City | BROWNSVILLE |
| State | PA |
| Zip Code | 15417-9689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063599835 | Ravindra K Mehta | Psychiatry & Neurology | 129 Simpson Rd, Suite 109, Brownsville, PA 15417-9689 | 2006-11-01 |
| 1902146962 | Quality Home Health | Counselor | 129 Simpson Rd, Brownsville, PA 15417-9689 | 2013-02-27 |
| 1851635544 | Stephanie Gail Briskin | Counselor | 129 Simpson Rd, Suite 109-b, Brownsville, PA 15417-9689 | 2012-11-19 |
| 1033438585 | Western Pa Behavioral Health Resources LLC | Clinic/Center | 129 Simpson Rd, Suite 107, Brownsville, PA 15417-9689 | 2010-05-24 |
| 1881895084 | Ravindra K. Mehta M.d. | Psychiatry & Neurology | 129 Simpson Rd, Suite 109, Brownsville, PA 15417-9689 | 2007-05-29 |
| 1205969946 | Millicent Hunchuck | Nurse Practitioner | 129 Simpson Rd, Brownsville, PA 15417-9689 | 2007-03-13 |
| 1174656821 | Marianne M Uffelman | Social Worker | 129 Simpson Rd, Brownsville, PA 15417-9689 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685663 | Wal-mart Stores East Lp | Technician/Technologist | 134 Daniel Kendall Dr., West Brownsville, PA 15417 | 2012-11-27 |
| 1073630190 | Wadhwani Cardio Pulumonary Associates, Inc | Specialist | 129 Simpson Raod, Suite 102, Brownsville, PA 15417 | 2007-03-23 |
| 1609838549 | Ashok K Sahai | Surgery | 129 Simpson Road, Suite #101, Brownsville, PA 15417 | 2006-04-05 |
| 1275538365 | Alan C Sally | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-16 |
| 1477654150 | Bernard Joseph Dolobach | Dentist | 416 Market Street, Brownsville, PA 15417 | 2006-09-26 |
| 1003911751 | Bhagwan J Wadhwani | Specialist | 129 Simpson Road, Suite #102, Brownsville, PA 15417 | 2006-09-14 |
| 1912012022 | Prakorb Isariyawongse | Surgery | 129 Simpson Road, Suite 108, Brownsville, PA 15417 | 2006-08-20 |
| 1316942998 | Fayette Podiatry Associates Inc | Podiatrist | 631a National Pike E, Brownsville, PA 15417 | 2005-06-20 |
| 1114030350 | Brownsville Ambulance Service Inc | Ambulance | 12 Arch St, Box 300, Brownsville, PA 15417-1611 | 2006-08-15 |
| 1073612313 | Thrift Drug Inc | Pharmacy | 37 Market St, Brownsville, PA 15417-1764 | 2006-09-22 |
| Find all providers in zip 15417 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 15417 |
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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.