Kongsak Chantornsaeng (NPI# 1942250659, PAC ID# 9537051784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1942250659 |
| PAC ID by PECOS | 9537051784 |
| Professional Enrollment ID | I20040325000266 |
| Full Name | Kongsak Chantornsaeng |
| Organization Legal Name | HOLMES COUNTY HOSPITAL CORPORATION |
| Address |
2600 Hospital Dr Bonifay FL 32425-4264 |
| Phone Number | 8505478000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ENDOCRINOLOGY, GERIATRIC MEDICINE |
| Group Practice PAC ID | 3375557887 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101307 | DOCTORS MEMORIAL HOSPITAL |
| 101308 | NORTHWEST FLORIDA COMMUNITY HOSPITAL |
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 2600 Hospital Dr, Bonifay, FL 32425-4264 | 8505478000 | HOLMES COUNTY HOSPITAL CORPORATION |
| 403 E 11th St, Panama City, FL 32401-3409 | 8507673350 | PANCARE OF FLORIDA, INC |
| Organization Legal Name | HOLMES COUNTY HOSPITAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mears | Nurse Practitioner | Holmes County Hospital Corporation | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Jessica Register Ludwig | Nurse Practitioner | Holmes County Hospital Corporation | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Street Address |
2600 HOSPITAL DR |
| City | BONIFAY |
| State | FL |
| Zip | 32425-4264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mears | Nurse Practitioner | Holmes County Hospital Corporation | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Sherry F Young | Nurse Practitioner | Dr Dale Mitchum Inc | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Charles Farmer | Pathology | Vivid Pathology Pa | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Jonathan O Paul | Nurse Practitioner | Wcs Professional Services of Florida, LLC | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Jessica Register Ludwig | Nurse Practitioner | Holmes County Hospital Corporation | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Loyd T Simmons | Nurse Practitioner | Wcs Professional Services of Florida, LLC | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leisa Hill Bailey | Family Medicine | 101 E Wisconsin Ave, Bonifay, FL 32425-1809 | |
| Mohammad Yunus | Internal Medicine | 404 E Hwy 90, Mohammad Yunus Md, Bonifay, FL 32425-2731 | |
| Ahmad Ismail | Family Medicine | 110 E Byrd Ave, Bonifay, FL 32425-3004 | |
| Vickie W Stephens | Nurse Practitioner | Life Management Center of Northwest Florida Inc | 310 E Byrd Ave, Bonifay, FL 32425-3006 |
| Joanne A Shafer | Clinical Social Worker | Life Management Center of Northwest Florida Inc | 310 E Byrd Ave, Bonifay, FL 32425-3006 |
| Glen Charles Nobles Jr. | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Megan Suzanne Voss | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Allen G Swift | General Practice | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| Karen Johnson | Nurse Practitioner | Florida Department of Health | 603 Scenic Circle Dr, Bonifay, FL 32425-3060 |
| John Owens | Chiropractic | 1604 S Waukesha St, Bonifay, FL 32425-3112 | |
| Find all physicians in zip 32425 | |||
| City | BONIFAY |
| Zip Code | 32425 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BONIFAY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kongsak Chantornsaeng.
| 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.