Pridipon Vithespongse (NPI# 1144223470, PAC ID# 2163489840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1144223470 |
| PAC ID by PECOS | 2163489840 |
| Professional Enrollment ID | I20041214000814 |
| Full Name | Pridipon Vithespongse |
| Address |
103 W 2nd St Box Suite 350 Hedrick IA 53563-7769 |
| Phone Number | 6416534712 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1962 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 W 2nd St Box, Suite 350, Hedrick, IA 53563-7769 | 6416534712 |
| Street Address |
103 W 2ND ST BOX SUITE 350 |
| City | HEDRICK |
| State | IA |
| Zip | 53563-7769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois A Hadley | Clinical Social Worker | 508 Campus St, Suite 6, Milton, WI 53563-1750 | |
| Daniel J Kulas | Family Medicine | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
| Rodney J Vanbeek | Family Medicine | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
| Shannon R Wixom | Nurse Practitioner | Mercy Health System Corporation | 725 S Janesville St, Milton, WI 53563-1775 |
| Tristan M Long | Optometry | 641 E S T Mary St, Milton, WI 53563-3719 | |
| Jayme Nicole Kasting Long | Optometry | 641 E S T Mary St, Milton, WI 53563-3719 | |
| Christopher Jon Hammer | Chiropractic | 840 Arthur Dr, Milton, WI 53563-3720 | |
| Rodney A Griffis | Certified Registered Nurse Anesthetist | Edgerton Hospital and Health Services | 831 Arthur Dr, Milton, WI 53563-3728 |
| City | HEDRICK |
| Zip Code | 53563 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HEDRICK + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Pridipon Vithespongse.
| 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.