Thavatchai Chamnongchareonwong, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0625 Issued in AL

Practice address

8300 Crossland Loop
Montgomery, AL 36117-8482

Phone

(334) 239-8939

Fax

(334) 239-8918

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chai Chamnong Professional name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chai Chamnong DO LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chai Chamnong DO LLC

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1467756296

  AL

  Medicare reassignment Care Compare group
• Accurx Infusion Center, LLC

  • Nurse Practitioner
  • Hoover, AL
  • NPI 1922515568

  AL

  Medicare reassignment NPD
• Obelisk Healthcare

  • Health Service Clinic/Center
  • Montgomery, AL
  • NPI 1841472529
  NPD (past)
• Georgia Department of Human Resources

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1023038353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848",
            "telephone_number": "334-270-9914",
            "fax_number": "334-270-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CROSSLAND LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178482",
            "telephone_number": "334-239-8939",
            "fax_number": "334-239-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMNONGCHAREONWONG",
        "first_name": "THAVATCHAI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "D0625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAI",
            "last_name": "CHAMNONG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vichai Chaicharncheep, M.D.
• Naga Venkata Divya Challa
• Greta Ott Chambless, ED.S.
• Michael Scott Chambless, RPH
• Jad Chamieh, MD
• Cynthia A. Champion, LMFT
• Jonie Lynn Champlin, C.R.N.P.
• Dana T Chandler, RDMS
• Stephen W Chandler, M.D.
• Alan Craig Chapman, MD

• All providers in Montgomery, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.