Kittipong Burt Srisuwan (NPI# 1184163503, PAC ID# 1557647591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1184163503 |
| PAC ID by PECOS | 1557647591 |
| Professional Enrollment ID | I20170406000183 |
| Full Name | Kittipong Burt Srisuwan |
| Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
| Address |
304 Medical Park Dr Walterboro SC 29488-5743 |
| Phone Number | 8283985244 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7416198049 |
| Number of Group Practice Members | 434 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420051 | MCLEOD REGIONAL MEDICAL CENTER-PEE DEE |
| 420030 | COLLETON MEDICAL CENTER |
| 420091 | CAROLINAS HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 555 E Cheves St, Florence, SC 29506-2617 | 8437772000 | MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC |
| 304 Medical Park Dr, Walterboro, SC 29488-5743 | 8283985244 | MEDSTREAM ANESTHESIA PLLC |
| Organization Legal Name | MEDSTREAM ANESTHESIA PLLC |
| Physicians | 374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Andrew Fleck | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 320 W Main St, White Sulphur Springs, WV 24986-2414 |
| Liesel E.a. Leedy | Anesthesiology | Medstream Anesthesia Pllc | 3241 Sw 34th St, Ocala, FL 34474-7439 |
| Gina Brigitte Justis | Anesthesiology | Medstream Anesthesia Pllc | 1500 Sw 1st Ave, Ocala, FL 34471-6504 |
| Timothy Joe Carter Ii | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 421 S Main St, Crossville, TN 38555-5048 |
| Nathan G Fell | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 430 Main St, Oak Hill, WV 25901-3484 |
| Sarah M Hewitt | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 |
| Richard C Franklin | Anesthesiology | Medstream Anesthesia Pllc | 566 Ruin Creek Rd, Henderson, NC 27536-2927 |
| Cynthia L Kappler | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1710 Harper Rd, Beckley, WV 25801-3397 |
| Timothy Whalen | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 830 Rockford St, Mount Airy, NC 27030-5322 |
| Thomas A Allingham | Anesthesiology | Medstream Anesthesia Pllc | 116 Brown Ave, Crossville, TN 38555-7703 |
| Street Address |
304 MEDICAL PARK DR |
| City | WALTERBORO |
| State | SC |
| Zip | 29488-5743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Taylor | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 304 Medical Park Dr, Walterboro, SC 29488-5743 |
| Richard P Serianni | Anesthesiology | Medstream Anesthesia Pllc | 304 Medical Park Dr, Walterboro, SC 29488-5743 |
| Jack Edward Neil | Anesthesiology | Medstream Anesthesia Pllc | 304 Medical Park Dr, Walterboro, SC 29488-5743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lance A Sims | Podiatry | 841 Robetson Blvd, Walterboro, SC 29488 | |
| Alyssa W Ursini | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Quana Mardena Singleton | Nurse Practitioner | Lowcountry Urgent Care LLC | 1515 Bells Hwy, Walterboro, SC 29488-2517 |
| Robert H Payne Jr. | Psychiatry | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Harriet A Nason | Clinical Social Worker | Charleston Family Center, LLC | 303 Maxey St, Walterboro, SC 29488-2546 |
| Stuart A Eder | Chiropractic | 975 Bells Hwy, Walterboro, SC 29488-2565 | |
| Robert L Thomas | Internal Medicine | 300 Ruby St, Walterboro, SC 29488-2758 | |
| Alison Renee Brown | Physician Assistant | Walterboro Adult and Pediatric Medicine,llc | 447 Spruce St, Walterboro, SC 29488-2766 |
| Brandon Eugene Marshall | Optometry | Carolina Eyecare Physicians,llc | 459 Spruce St, Walterboro, SC 29488-2766 |
| Michael L Blubaugh | Internal Medicine | Carolina Medical Center of Walterboro P A | 461 Spruce St, Walterboro, SC 29488-2766 |
| Find all physicians in zip 29488 | |||
| City | WALTERBORO |
| Zip Code | 29488 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WALTERBORO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kittipong Burt Srisuwan.
| 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.