Chukiat Tansuwan (NPI# 1457351264, PAC ID# 1254410004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1457351264 |
| PAC ID by PECOS | 1254410004 |
| Professional Enrollment ID | I20080505000408 |
| Full Name | Chukiat Tansuwan |
| Organization Legal Name | SSM DEPAUL MEDICAL GROUP INC |
| Address |
14021 New Halls Ferry Rd Florissant MO 63033-2708 |
| Phone Number | 3148390910 |
| Gender | M |
| Graduation Year | 1972 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PULMONARY DISEASE |
| Group Practice PAC ID | 7618871286 |
| Number of Group Practice Members | 118 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 | 3148390910 | SSM DEPAUL MEDICAL GROUP INC |
| Organization Legal Name | SSM DEPAUL MEDICAL GROUP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Vranich | General Surgery | Ssm Depaul Medical Group Inc | 3444 Mckelvey Rd, Bridgeton, MO 63044-2525 |
| Daniel H Lischwe | Family Practice | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Kimberly F Anno | Nurse Practitioner | Ssm Depaul Medical Group Inc | 1120 Shackelford Rd, Florissant, MO 63031-4369 |
| Ann L Venegoni-james | Nurse Practitioner | Ssm Depaul Medical Group Inc | 1120 Shackelford Rd, Florissant, MO 63031-4369 |
| Yakima Young-shields | Nurse Practitioner | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Street Address |
14021 NEW HALLS FERRY RD |
| City | FLORISSANT |
| State | MO |
| Zip | 63033-2708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline E Hayes | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| David K Bean | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Karl Taira | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Jessica N Smith | Family Medicine | Ssm Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Daniel H Lischwe | Family Practice | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Yakima Young-shields | Nurse Practitioner | Ssm Depaul Medical Group Inc | 14021 New Halls Ferry Rd, Florissant, MO 63033-2708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol F Merritt | Optometry | 2750 N Hwy 67, Florissant, MO 63033-1402 | |
| Kevin L Mcclain | Chiropractic | 2640 N Us Hwy 67, Florissant, MO 63033-1438 | |
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Manuel L San | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Find all physicians in zip 63033 | |||
| City | FLORISSANT |
| Zip Code | 63033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FLORISSANT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Chukiat Tansuwan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.