Niranat Dejtiranukul (NPI# 1013049212, PAC ID# 2365526407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1013049212 |
| PAC ID by PECOS | 2365526407 |
| Professional Enrollment ID | I20080227000495 |
| Full Name | Niranat Dejtiranukul |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Address |
1201 Ricker Rd Salem IL 62881-4263 |
| Phone Number | 6185483194 |
| Gender | M |
| Graduation Year | 1968 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3870565732 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140147 | RICHLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 E Locust St, Olney, IL 62450-2553 | 6183957340 | RICHLAND MEMORIAL HOSPITAL INC |
| 1201 Ricker Rd, Salem, IL 62881-4263 | 6185483194 | RICHLAND MEMORIAL HOSPITAL INC |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen L Ginder | Nurse Practitioner | Richland Memorial Hospital Inc | 101 Industry Rd, Bridgeport, IL 62417-2442 |
| Katherine E Myers | Nurse Practitioner | Richland Memorial Hospital Inc | 605 E Main St, Olney, IL 62450-2163 |
| Tanner M Miller | Internal Medicine | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Raymond L Fisher | Cardiovascular Disease (cardiology) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Melissa N Kuenstler | Nurse Practitioner | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Thomas Falcone | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Stephanie D Gordon | Certified Nurse Midwife (cnm) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Gail Mowrer Greathouse | Nurse Practitioner | Richland Memorial Hospital Inc | 100 S Main St, West Salem, IL 62476-1202 |
| Mary M Waller | Urology | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| Peter M Mccool | Emergency Medicine | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Street Address |
1201 RICKER RD |
| City | SALEM |
| State | IL |
| Zip | 62881-4263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley C Stufflebam | Diagnostic Radiology | 1201 Ricker Rd, Salem, IL 62881-4263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Aristides Juan Garces | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Paul B Williams IIi | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Preecha Tawjareon | Diagnostic Radiology | 815 W Main St, Salem, IL 62881-1408 | |
| Shanda C Swagler | Nurse Practitioner | Southern Illinois Dermatology, PC | 100 W Main St, Salem, IL 62881-1500 |
| Doris A Els | Optometry | 121 N Broadway, Salem, IL 62881-1509 | |
| Michael Sebastian Spencer | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Alan D Montgomery | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Elizabeth J Wolff | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Jessie Crabtree | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Find all physicians in zip 62881 | |||
| City | SALEM |
| Zip Code | 62881 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SALEM + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Niranat Dejtiranukul.
| 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.