DR. VASUTAKARN CHONGTHAMMAKUN (NPI# 1932464732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932464732 |
| Entity Type | Individual |
| Full Name | DR. VASUTAKARN CHONGTHAMMAKUN |
| Credential | MD PHD |
| Practice Address |
2410 Atherholt Rd Lynchburg VA 24501-2148 |
| Practice Telephone | 4342005252 |
| Mailing Telephone | 4342005252 |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2020-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101268061 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 Nw 14th St, Clinical Research Building Rm 1107, Miami, FL 331362107 | 3052437067 | |
| 8701 W Watertown Plank Rd, Milwaukee, WI 532263548 | 4143377556 |
| Street Address |
2410 ATHERHOLT RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312609 | Kenneth E Saum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-10 |
| 1841808052 | Connor David Middlekauff | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-07-14 |
| 1235762915 | Jennifer L Mccoy | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-02-20 |
| 1043855356 | Virginia Leigh Blevins | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-11-11 |
| 1831747955 | Blakley Walker Sproles | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-09-02 |
| 1508411323 | James Mark Marcouillier | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-08-08 |
| 1962062109 | Taylor Grasser | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-19 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1669949277 | Abigail Jean Newton | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-11-01 |
| 1245707140 | John N Smiley | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366881518 | Weijuan Li | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2013-06-20 |
| 1063711950 | John R Haas | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2011-03-18 |
| 1922230978 | Martha Vesterlund | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2009-08-10 |
| 1932316163 | Fadi M El-ahdab | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-05-17 |
| 1124232814 | Brian J Schietinger | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-05-10 |
| 1780801670 | Brent Carothers | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-04-20 |
| 1912035767 | Stephen Rennyson | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-03-02 |
| 1659423911 | Jessica Maritza Jara | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-01-17 |
| 1508932088 | Centra Health Cardiovascular Services LLC | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-11-28 |
| 1922188523 | Justin Darrell Anderson | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-10-17 |
| Find all providers in LYNCHBURG | ||||
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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.