MR. PRAKORB ISARIYAWONGSE (NPI# 1912012022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912012022 |
| Entity Type | Individual |
| Full Name | MR. PRAKORB ISARIYAWONGSE |
| Credential | MD |
| Practice Address |
129 Simpson Road Suite 108 Brownsville PA 15417 |
| Practice Telephone | 7247859696 |
| Practice Fax Number | 7247857225 |
| Mailing Telephone | 7247859696 |
| Mailing Fax Number | 7247857225 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD033993L | PA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD033993L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED MINE WORKERS | 0708585 | 01 | |
| UNITED HEALTH CARE | 251310157 | 01 | |
| PA | CIGNA | 7938474011 | 01 |
| PA | HIGHMARK | 129649 | 01 |
| PA | HEALTH AMERICA | 18700 | 01 |
| PA | UPMC | 202932 | 01 |
| PALMETTO MEDICARE | 020031897 | 01 | |
| PA | 0005869240004 | 05 | |
| UNISON | 60542 | 01 |
| Street Address |
129 SIMPSON ROAD SUITE 108 |
| City | BROWNSVILLE |
| State | PA |
| Zip Code | 15417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609838549 | Ashok K Sahai | Surgery | 129 Simpson Road, Suite #101, Brownsville, PA 15417 | 2006-04-05 |
| 1003911751 | Bhagwan J Wadhwani | Specialist | 129 Simpson Road, Suite #102, Brownsville, PA 15417 | 2006-09-14 |
| 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 |
| 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 |
| 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 |
| 1629288113 | Pharmacy Operations Inc | Pharmacy | 37 Market St, Brownsville, PA 15417-1764 | 2007-05-23 |
| 1508901349 | Jamie Lynne Lavis | Specialist/Technologist | 413 Market St Apt 1, Brownsville, PA 15417-1774 | 2007-02-20 |
| 1407403447 | Brownsville Pharmacy Inc | Pharmacy | 27 Market St, Brownsville, PA 15417-1787 | 2019-08-23 |
| Find all providers in zip 15417 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336684141 | Eduardo I Garcia, Md & Associates, Pllc | General Practice | 3380 Ruben Torres Sr Blvd, Ste 208, Brownsville, TX 78526-2914 | 2017-01-03 |
| 1023443686 | Southmost Medical Clinic | General Practice | 2905 Southmost Rd, Suite C, Brownsville, TX 78521-8166 | 2013-09-13 |
| 1548500317 | Md House Calls,pllc | General Practice | 2686 W. Alton Gloor, Suite 3, Brownsville, TX 78520-4054 | 2013-02-15 |
| 1609925312 | Bradley W Nordyke Md | General Practice | 3914 Paredes Line Rd, Brownsville, TX 78526-1184 | 2007-01-10 |
| 1972560423 | Bradley William Nordyke | General Practice | 425 E Los Ebanos Blvd Ste 104, Brownsville, TX 78520-8482 | 2006-04-27 |
| 1699764118 | Donald Ray Spencer | General Practice | 107 N Lafayette Ave, Spencer Medical Clinic, Brownsville, TN 38012-2550 | 2005-10-18 |
| 1821604752 | South Texas Medical Associates, Pllc | General Practice | 451 E Alton Gloor Blvd, Brownsville, TX 78526-3393 | 2020-09-16 |
| 1609113745 | Carlos Rosas M.d., P.a. | General Practice | 704 Paredes Line Rd Ste A, Brownsville, TX 78521-2442 | 2013-01-09 |
| 1669790093 | Your Key To Health, Inc. | General Practice | 625 E Price Rd, Brownsville, TX 78521-4215 | 2010-05-10 |
| 1871772855 | Bradley W Nordyke Md | General Practice | 3914 Paredes Line Rd, Brownsville, TX 78526-1184 | 2007-10-26 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 15417 |
Please comment or provide details below to improve the information on MR. PRAKORB ISARIYAWONGSE.
| 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.