NPIMap

Organization Active NPI

Virach Anantachai MD PC

  • Family Medicine Physician
  • Loup City, NE
National Provider Identifier
1013011766
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13217 Issued in NE
Legal business name
VIRACH ANANTACHAI MD PC
Practice address
130 N 6TH Street
Loup City, NE 68853-0527
Phone
(308) 745-0514
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Virach Anantachai, MDNPI 1659560274
Title
President
Phone
(308) 745-0514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 13217 NE Primary

Addresses

Primary practice location

130 N 6TH Street
Loup City, NE 68853-0527

Mailing address

PO Box 527
130 N 6TH Street
Loup City, NE 68853-0527
Phone (308) 745-0514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1013011766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "address_2": "130 N 6TH STREET",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688530527",
            "telephone_number": "308-745-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N 6TH STREET",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688530527",
            "telephone_number": "308-745-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRACH ANANTACHAI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANANTACHAI",
        "authorized_official_first_name": "VIRACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-745-0514",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loup City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.