Udom Tinsatul (NPI# 1508963950, PAC ID# 5092907600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1508963950 |
| PAC ID by PECOS | 5092907600 |
| Professional Enrollment ID | I20101013001187 |
| Full Name | Udom Tinsatul |
| Organization Legal Name | ASHLEY CLINIC P C TINSA |
| Address |
612 Ctr Ave N Ashley ND 58413-7013 |
| Phone Number | 7012883431 |
| Gender | M |
| Graduation Year | 1967 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8628037785 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351322 | ASHLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 612 Ctr Ave N, Ashley, ND 58413-7013 | 7012883431 | ASHLEY CLINIC P C TINSA |
| Organization Legal Name | ASHLEY CLINIC P C TINSA |
| Physicians | 1 |
| Street Address |
612 CTR AVE N |
| City | ASHLEY |
| State | ND |
| Zip | 58413-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori M Bichler | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Tara M Brandner | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Faith Abigail Alverson | Physician Assistant | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Nina J Klein | Nurse Practitioner | Ashley Medical Center | 612 Ctr Ave N, Ashley, ND 58413-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danelle F Moch | Optometry | Eye Center of The Dakotas, PC | 611 Ctr Ave N, Ashley, ND 58413-7011 |
| Timothy L Tello | Optometry | Eye Center of The Dakotas, PC | 611 Ctr Ave N, Ashley, ND 58413-7011 |
| City | ASHLEY |
| Zip Code | 58413 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ASHLEY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Udom Tinsatul.
| 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.